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General NPI Number Information
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NPI Number | 1417814831
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Entity Type | Individual
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Provider Name | STACEY LYNNE CREEL PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 44 VERSAILLES BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3960
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Country | US
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Telephone | 318-445-5111
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Fax | 318-442-2261
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Provider Business Mailing Address
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Address Line | 9651 HIGHWAY 8 W
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City | HARRISONBURG
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State | LA
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Zip | 71340-1649
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Country | US
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Telephone | 318-758-9085
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN131234
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License Number State | LA
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