STEPHANIE DENNISON

SHREVEPORT, LA
NPI1760092282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  239278)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: LA  239278)
363LF0000X Nurse Practitioner, Family
(Licence: CO  0995641)
Enumeration Date2020-08-10
Last Update Date2025-12-31
Business Address
STEPHANIE DENNISON
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
Mailing Address
STEPHANIE DENNISON
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: