STACY DOMINGUES WEBB MSN-PNP NPI 1720367501

NPI Information

NPI: 1720367501
Provider Name: STACY DOMINGUES WEBB, MSN-PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3401 MAGNOLIA CV
MONROE, LA
ZIP 71203
Phone: (318) 325-6311
Get Directions

Stacy Domingues Webb, MSN-PNP is a pediatrics nurse practitioner in Monroe, LA. Stacy Domingues Webb, MSN-PNP NPI is 1720367501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 MAGNOLIA CV
MONROE, LA
ZIP 71203-375
Phone: (318) 325-6311
Fax: (318) 361-9805

The enumeration date for this NPI number is 8/10/2011 and was last updated on 6/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	06608	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2167481	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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