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General NPI Number Information
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NPI Number | 1629867023
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Entity Type | Organization
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Legal Business Name | LAURIE STUMPF, FNP-C, LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4700 HIGHWAY 22 STE 3
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City | MANDEVILLE
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State | LA
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Zip | 70471-6754
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Country | US
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Telephone | 985-666-7721
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Fax | 833-801-0286
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Provider Business Mailing Address
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Address Line | 4700 HIGHWAY 22 STE 3
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City | MANDEVILLE
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State | LA
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Zip | 70471-6754
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Country | US
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Telephone | 985-666-7721
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Fax | 833-801-0286
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DONNA JENKINS
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Credential |
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Telephone | 985-666-7721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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