Healthcare Provider Details
I. General information
NPI: 1649880675
Provider Name (Legal Business Name): REBECCA ANDERSON HOOD MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2020
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2806 MARK DR
MONROE LA
71201-5152
US
IV. Provider business mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT LA
71105-6000
US
V. Phone/Fax
- Phone: 318-460-5127
- Fax: 318-460-1967
- Phone: 318-798-4539
- Fax: 318-798-4601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 215033 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: