Luke, Tabitha D
Luke, Tabitha D is an individual health care provider with primary practice located at 606 Haifleigh St , Franklin LA 70538-3731. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Luke, Tabitha D can be contacted via phone (337) 828-4440.Contact Information
Primary practice address
606 Haifleigh St
Franklin LA 70538-3731
Phone: (337) 828-4440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 221523 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 221523 | Louisiana |
Profile Details
NPI number | 1407520463 |
---|---|
LBN Legal business name | Luke, Tabitha D |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2021 |
Last updated | Jun 20th, 2022 - about 2 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407520463 | NPPES |
Louisiana | MEDICAID | 2574787 |
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