Individual
DANIELLE V DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
509 TURTLE CREEK DR, SHREVEPORT, LA 71115-2509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN076837 AP04095
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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