SUSAN PESNELL GAINES

SHREVEPORT, LA
NPI1336038645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: LA  RN115883)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  248539)
Enumeration Date2025-07-01
Last Update Date2026-07-29
Business Address
SUSAN PESNELL GAINES
1800 LINE AVE
SHREVEPORT, LA 71101-4612
Phone number: 318-677-3100
Mailing Address
SUSAN PESNELL GAINES
1800 LINE AVE
SHREVEPORT, LA 71101-4612
Phone number: 318-677-3100
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