Provider Demographics
NPI:1497138887
Name:STAPLETON, MARSHA (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:
Other - Last Name:DECESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C, PMHNP-BC
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:185 LUTRICK LANE
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-0194
Mailing Address - Country:US
Mailing Address - Phone:318-992-3108
Mailing Address - Fax:
Practice Address - Street 1:211 4TH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8421
Practice Address - Country:US
Practice Address - Phone:318-992-3108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08411363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health