Provider Demographics
NPI:1235653692
Name:STRICKLAND, DUSTIN TYLER (NP-C)
Entity Type:Individual
Prefix:
First Name:DUSTIN
Middle Name:TYLER
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71263-9798
Mailing Address - Country:US
Mailing Address - Phone:318-428-3237
Mailing Address - Fax:
Practice Address - Street 1:502 ROSS ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:LA
Practice Address - Zip Code:71263-9706
Practice Address - Country:US
Practice Address - Phone:318-428-2358
Practice Address - Fax:318-428-2350
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005286363LF0000X
LAAP09398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily