Healthcare Provider Details

I. General information

NPI: 1578189080
Provider Name (Legal Business Name): SAMANTHA HOOD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2020
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 STARBRUSH CIR
COVINGTON LA
70433-7208
US

IV. Provider business mailing address

20 STARBRUSH CIR
COVINGTON LA
70433-7208
US

V. Phone/Fax

Practice location:
  • Phone: 985-777-7000
  • Fax: 985-777-9000
Mailing address:
  • Phone: 985-777-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number213936
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: