Cole, Stacey Rene

Cole, Stacey Rene is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cole, Stacey Rene can be contacted via phone (318) 626-0000.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704396622 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP121002 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP121002 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 212544 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 212544 Louisiana

Profile Details

NPI number 1083981021
LBN Legal business name Cole, Stacey Rene
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2011
Last updated Jul 15th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083981021 NPPES
Texas MEDICAID 323879203

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