STACEY SMITH OGDEN

BASTROP, LA
NPI1073395521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  232190)
Enumeration Date2023-10-19
Last Update Date2023-10-19
Business Address
STACEY SMITH OGDEN FNP-C
314 N. FRANKLIN STREET
BASTROP, LA 71220-4539
Phone number: 318-283-8887
Mailing Address
STACEY SMITH OGDEN FNP-C
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-283-8887