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Kentwood Family Clinic Llc
Family Nurse Practitioner in Kentwood, Louisiana
NPI 1780050294

Kentwood Family Clinic Llc is a Family Nurse Practitioner based in Lafayette, LA and is specialized in Family. Kentwood Family Clinic Llc practices in Kentwood, LA. The NPI Number for Kentwood Family Clinic Llc is 1780050294 and holds a License No. (Louisiana).

The current practice location address for Kentwood Family Clinic Llc is 919 Avenue G, Kentwood, LA and can be reached out via phone at 337-991-9276 and via fax at 337-991-9288.

Location: 919 Avenue G, Kentwood, LA, 70506-3718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780050294
Provider Name
Kentwood Family Clinic Llc
Credential
Provider Entity Type
Organization
Address
919 Avenue G, Kentwood, LA, 70506-3718
Phone Number
337-991-9276
Fax Number
337-991-9288
Provider Enumeration Date
08/19/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
919 Avenue G
City
Kentwood
State
Louisiana
Zip
70444
Phone Number
337-991-9276
Fax Number
337-991-9288
person
Provider Business Mailing Address Details
Address
919 Avenue G
City
Kentwood
State
Louisiana
Zip
70444
Phone Number
337-991-9276
Fax Number
337-991-9288
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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