# FUSELIER FAMILY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275375784
- **Authorized official:** KHRISTOPHER FUSELIER (PSYCH NP)
- **Authorized official phone:** (337) 802-0747

## Contact information

- **Practice address:** 302 W 4TH ST STE A, DEQUINCY, LA 70633-3404
- **Practice address phone:** (337) 222-5524
- **Mailing address:** 302 W 4TH ST STE A, DEQUINCY, LA 70633-3404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024