Webb, Stacy Domingues

Webb, Stacy Domingues is an individual health care provider with primary practice located at 3401 Magnolia Cv , Monroe LA 71203-2375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Webb, Stacy Domingues can be contacted via phone (318) 325-6311.

Contact Information

Primary practice address
3401 Magnolia Cv Monroe LA 71203-2375
Fax: (318) 361-9805
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 06608 Louisiana

Profile Details

NPI number 1720367501
LBN Legal business name Webb, Stacy Domingues
Credentials MSN-PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Jun 13th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720367501 NPPES
Louisiana MEDICAID 2167481

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