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General NPI Number Information
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NPI Number | 1790450021
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Entity Type | Individual
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Provider Name | AMBERNEISHA S FLOURNOY
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 2020 BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71118-3315
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Country | US
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Telephone | 318-935-9762
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Fax | 877-219-0977
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 844-630-0700
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Fax | 877-374-1924
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN140108
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222274
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License Number State | LA
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