Provider Demographics
NPI:1912262429
Name:NOLAN, STEPHANIE LINTON (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LINTON
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:LINTON
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:12880 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-4909
Mailing Address - Country:US
Mailing Address - Phone:225-774-7111
Mailing Address - Fax:225-774-7714
Practice Address - Street 1:12880 PLANK RD
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-4909
Practice Address - Country:US
Practice Address - Phone:225-774-7111
Practice Address - Fax:225-774-7714
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily