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Glenn Jerome Landry, NP
Adult Health Nurse Practitioner in Baton Rouge, Louisiana
NPI 1629375712

Glenn Jerome Landry is an Adult Health Nurse Practitioner based in Baton Rouge, LA and is specialized in Adult Health. Glenn Jerome Landry practices in Baton Rouge, LA and has the professional credentials of NP. The NPI Number for Glenn Jerome Landry is 1629375712 and holds a License No. 06368 (Louisiana).

The current practice location address for Glenn Jerome Landry is 4950 Essen Ln Ste 503, Baton Rouge, LA and can be reached out via phone at 225-765-1737 and via fax at 225-765-1842. You can also correspond with Glenn Jerome Landry through the mailing address at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA - 70816-6038 (mailing address contact number: 225-526-0011).

Location: 4950 Essen Ln Ste 503, Baton Rouge, LA, 70816-6038
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Provider Profile Details
NPI Number
1629375712
Provider Name
Glenn Jerome Landry
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4950 Essen Ln Ste 503, Baton Rouge, LA, 70816-6038
Phone Number
225-765-1737
Fax Number
225-765-1842
Provider Enumeration Date
02/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2434045 05 MS
2141040 05 LA
274780YJA2 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
4950 Essen Ln Ste 503
City
State
Zip
70809-3738
Phone Number
225-765-1737
Fax Number
225-765-1842
person
Provider Business Mailing Address Details
Address
4950 Essen Ln Ste 503
City
State
Zip
70809-3738
Phone Number
225-765-1737
Fax Number
225-765-1842
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
06368 (Louisiana)
Definition
Definition to come...
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