Provider Demographics
NPI:1134828262
Name:ZENO, STEPHANIE (FNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ZENO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6031 FORDOCHE RD
Mailing Address - Street 2:
Mailing Address - City:FORDOCHE
Mailing Address - State:LA
Mailing Address - Zip Code:70732-3227
Mailing Address - Country:US
Mailing Address - Phone:225-425-6417
Mailing Address - Fax:
Practice Address - Street 1:6031 FORDOCHE RD
Practice Address - Street 2:
Practice Address - City:FORDOCHE
Practice Address - State:LA
Practice Address - Zip Code:70732-3227
Practice Address - Country:US
Practice Address - Phone:225-425-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily