person
Jeremy Dedeaux, FNP-C
Family Nurse Practitioner in Zachary, Louisiana
NPI 1104233923

Jeremy Dedeaux is a Family Nurse Practitioner based in Zachary, LA and is specialized in Family. Jeremy Dedeaux practices in Zachary, LA and has the professional credentials of FNP-C. The NPI Number for Jeremy Dedeaux is 1104233923 and holds a License No. AP07961 (Louisiana).

The current practice location address for Jeremy Dedeaux is 2335 Church St, Zachary, LA and can be reached out via phone at 225-654-3607 and via fax at 225-658-2262.

Location: 2335 Church St, Zachary, LA, 70791
person
Provider Profile Details
NPI Number
1104233923
Provider Name
Jeremy Dedeaux
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
2335 Church St, Zachary, LA, 70791
Phone Number
225-654-3607
Fax Number
225-658-2262
Provider Enumeration Date
07/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2381547 05 LA
institution
Provider Business Practice Location Address Details
Address
2335 Church St
City
State
Zip
70791-2700
Phone Number
225-654-3607
Fax Number
225-658-2262
person
Provider Business Mailing Address Details
Address
2335 Church St
City
State
Zip
70791-2700
Phone Number
225-654-3607
Fax Number
225-658-2262
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP07961 (Louisiana)
Definition
Definition to come...
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