Individual
STEPHANIE DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
(318) 212-3520
Mailing address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
239278
LA
363LF0000X
Family Nurse Practitioner
0995641
CO
363LF0000X
Family Nurse Practitioner
Primary
239278
LA
Other
Enumeration date
08/10/2020
Last updated
12/31/2025
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