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Janci Bienvenu Detwiler, CPNP-PC/AC
Pediatric Nurse Practitioner in Lafayette, Louisiana
NPI 1144673344

Janci Bienvenu Detwiler is a Pediatric Nurse Practitioner based in Broussard, LA and is specialized in Pediatrics. Janci Bienvenu Detwiler practices in Lafayette, LA and has the professional credentials of CPNP-PC/AC. The NPI Number for Janci Bienvenu Detwiler is 1144673344 and holds a License No. AP08962 (Louisiana).

The current practice location address for Janci Bienvenu Detwiler is 4801 Ambassador Caffery Pkwy, Lafayette, LA and can be reached out via phone at 337-470-2017 and via fax at 337-470-2809.

Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA, 70518-7414
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Provider Profile Details
NPI Number
1144673344
Provider Name
Janci Bienvenu Detwiler
Credential
CPNP-PC/AC
Provider Entity Type
Individual
Gender
Female
Address
4801 Ambassador Caffery Pkwy, Lafayette, LA, 70518-7414
Phone Number
337-470-2017
Fax Number
337-470-2809
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP08962 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4801 Ambassador Caffery Pkwy
City
State
Zip
70508-6917
Phone Number
337-470-2017
Fax Number
337-470-2809
person
Provider Business Mailing Address Details
Address
4801 Ambassador Caffery Pkwy
City
State
Zip
70508-6917
Phone Number
337-470-2017
Fax Number
337-470-2809
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP08962 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
AP08962 (Louisiana)
Definition
Definition to come...
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