Individual provider · Type 1 NPI

Emily Rene Maddox, ACNPC-AG

Acute Care Nurse Practitioner · Bossier City, LA

NPI number 1679126866 Active

Practice location

2400 Hospital Dr
Bossier City, LA 71111-2385

Mailing address

1202 Louisiana Ave
Shreveport, LA 71101-3910

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X207272 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1679126866

Emily Rene Maddox, ACNPC-AG's National Provider Identifier is 1679126866, issued on Jul 17, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bossier City, LA. The record was last updated on Jul 8, 2021.