Healthcare Provider Details

I. General information

NPI: 1508620097
Provider Name (Legal Business Name): JULIANNE DUGAS SPRIGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIANNE DUGAS

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 CURTISS RD
BARKSDALE AFB LA
71110-2425
US

IV. Provider business mailing address

243 CURTISS RD
BARKSDALE AFB LA
71110-2425
US

V. Phone/Fax

Practice location:
  • Phone: 318-456-6299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1248
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: