Individual
STEPHANIE GILLS HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 371-4042
Mailing address
215 MAIN ST, MINDEN, LA 71055-3322
(318) 505-4932
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
236213
LA
363LG0600X
Gerontology Nurse Practitioner
236213
LA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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