Doctor Name: | ALLYSON DELAUNE |
NPI Number: | 1023200987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN074918 AP05274 |
Business Practice Address: | 8001 Youree Dr Suite 880 Shreveport, LA - 711152302 |
Business Phone Number: | 3182123821 |
Business Fax Number: | 3182123825 |
Mailing Address: | 1736 Irving Pl, SHREVEPORT |
State: | LA |
Postal Code: | 711014606 |
Phone Number: | 3182211983 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | RN074918 AP05274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |