STORMY TULLIS

SHREVEPORT, LA
NPI1396417184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  221451)
Enumeration Date2021-09-30
Last Update Date2021-09-30
Business Address
STORMY TULLIS NP
3504 MANSFIELD RD
SHREVEPORT, LA 71103-4107
Phone number: 337-991-9276
Mailing Address
STORMY TULLIS NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276