Provider Demographics
NPI:1508271719
Name:STANSBURY, KAREN RENEE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENEE
Last Name:STANSBURY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:100 WESTLAND PL
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5446
Mailing Address - Country:US
Mailing Address - Phone:318-314-2308
Mailing Address - Fax:318-314-3155
Practice Address - Street 1:100 WESTLAND PL
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5446
Practice Address - Country:US
Practice Address - Phone:318-314-2308
Practice Address - Fax:318-314-3155
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO3349363LF0000X
LA0318691364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily