Individual
MRS. EMILY RENE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2400 HOSPITAL DR, BOSSIER CITY, LA 71111-2385
(318) 212-7990
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
207272
LA
Other
Enumeration date
07/17/2019
Last updated
07/08/2021
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