Provider Demographics
NPI:1962958579
Name:POSPISIL, ALLISON SMITH (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:SMITH
Last Name:POSPISIL
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 D CRIAG ROAD
Mailing Address - Street 2:
Mailing Address - City:DEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71328
Mailing Address - Country:US
Mailing Address - Phone:318-466-9573
Mailing Address - Fax:
Practice Address - Street 1:56 D CRAIG RD
Practice Address - Street 2:
Practice Address - City:DEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71328-9598
Practice Address - Country:US
Practice Address - Phone:318-466-9573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08994363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics