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General NPI Number Information
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NPI Number | 1992158802
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Entity Type | Individual
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Provider Name | KIERRA STEWART RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 25678 PALMWOOD CT
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-6598
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Country | US
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Telephone | 225-308-4553
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Fax | 225-208-7005
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Provider Business Mailing Address
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Address Line | 25678 PALMWOOD CT
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-6598
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Country | US
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Telephone | 225-308-4553
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Fax | 225-208-7005
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #8
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 147991
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License Number State | LA
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Taxonomy #9
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 147991
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License Number State | LA
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