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NPI Code Detail

MEDICARE: MRS. LADONNA J HARRELL NP

MEDICARE:  MRS. LADONNA J HARRELL  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner229699LA

General Provider Information

NPI Number : 1477249811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LADONNA J HARRELL NP
Provider Business Mailing Address
First Line : 1455 E BERT KOUNS INDUSTRIAL LOOP
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-6000
Country : US
Telephone Number : 318-798-4500
Fax Number : 318-798-4601
Provider Business Practice Location Address
First Line : 102 S MONROE ST
Second Line :
City : MINDEN
State : LA
Zip : 71055-3357
Country : US
Telephone Number : 318-377-3425
Fax Number : 318-703-2910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2023
Last Update Date : 04/15/2026

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Directions to “ MRS. LADONNA J HARRELL NP” Practice Location

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