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STACY DOMINGUES WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-PNP

Contact information

Practice address
3401 MAGNOLIA CV, MONROE, LA 71203-2375
(318) 325-6311
(318) 361-9805
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
06608
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2167481
LA
Enumeration date
08/10/2011
Last updated
08/20/2024
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