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Contact Information

DWANA TIBBS
4213 HIGHWAY 115
BUNKIE, LA71322-4311
 Phone: 337-336-9794
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for DWANA TIBBS · (Female)

NPI Number 1093324436
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2020
Last updated 07/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 210538
  • LA License # 211294
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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