Individual
AMBER SISTRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24278 WATER HICKORY RD, PONCHATOULA, LA 70454-4255
(985) 960-4423
Mailing address
24278 WATER HICKORY RD, PONCHATOULA, LA 70454-4255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20101126
LA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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