Healthcare Provider Details

I. General information

NPI: 1073095204
Provider Name (Legal Business Name): MEGAN LOUQUE STAMPS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 7020
SLIDELL LA
70469-7020
US

IV. Provider business mailing address

PO BOX 7020
SLIDELL LA
70469-7020
US

V. Phone/Fax

Practice location:
  • Phone: 42-297-4535
  • Fax:
Mailing address:
  • Phone: 42-297-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10050
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: