Dequincy Lashell Self, LPN
Individual provider Active NPI Licensed Practical Nurse · Greensburg, LA
NPI 1093620064 · NPPES record last updated Aug 15, 2026
Key facts
- NPI
- 1093620064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 30002349 (LA)
- Practice address
- 99 Eula Faye LN
Greensburg, LA 70441-3244 - Phone
- (985) 404-7575
- NPI assigned
- Aug 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30002349 | LA | Yes |
Addresses
Primary practice location
99 Eula Faye LN
Greensburg, LA 70441-3244
Mailing address
99 Eula Faye LN
Greensburg, LA 70441-3244
Phone (985) 404-7575
Other providers in Greensburg, LA
- Paulesha'S Guiding Light Counseling, LLC
- Personal Touch Healthcare Service
- Personal Touch Healthcare Service
- Personal Touch Healthcare Services
- Rose'S Transportation Service
- Tyesha Self
- Shaunkiara Singleton
- Solutions Counseling & Behavioral Health, LLC
- Southeast Community Health Systems
- Southeast Community Health Systems
All providers in Greensburg, LA · Licensed Practical Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.