Individual provider · Type 1 NPI
Stephanie Simon, FNP
Family Nurse Practitioner · Lake Charles, LA
NPI number
1063259620
Active
Practice location
1890 W Gauthier Rd Ste 150
Lake Charles, LA 70605-7119
Mailing address
604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN147315 (LA) |
| Family Nurse Practitioner Primary | 363LF0000X | 237223 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063259620
Stephanie Simon, FNP's National Provider Identifier is 1063259620, issued on Jul 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Nov 13, 2024.