Individual
STEFANIE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
302 DOUG DR, LAFAYETTE, LA 70508-6300
(337) 456-6808
Mailing address
302 DOUG DR, LAFAYETTE, LA 70508-6300
(337) 456-6808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07258
LA
Other
Enumeration date
04/30/2013
Last updated
07/14/2016
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