Healthcare Provider Details

I. General information

NPI: 1336343458
Provider Name (Legal Business Name): DEBBIE JANE DOGGETT FAMILY NURSE PRACTIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 4TH STREET RAPIDES REGIONAL HOSPITAL - EMERGENCY DEPT
ALEXANDRIA LA
71303
US

IV. Provider business mailing address

5125 ALEX DR
ALEXANDRIA LA
71303
US

V. Phone/Fax

Practice location:
  • Phone: 318-769-5000
  • Fax: 318-769-5050
Mailing address:
  • Phone: 318-473-2707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0088911
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: