STACEY RENE COLE

SHREVEPORT, LA
NPI1083981021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  212544)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MI  4704396622)
363L00000X Nurse Practitioner
(Licence: TX  AP121002)
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX  AP121002)
363LN0000X Nurse Practitioner, Neonatal
(Licence: LA  212544)
Enumeration Date2011-11-18
Last Update Date2024-07-15
Business Address
STACEY RENE COLE NNP
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
STACEY RENE COLE NNP
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287