Individual
DANNETTE FURGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
501 E STONER AVE, SHREVEPORT, LA 71101
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
142967
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
206927
LA
Other
Enumeration date
08/15/2019
Last updated
04/15/2021
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