# JANA GAUTREAUX LLC

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

## Provider details

- **NPI number:** 1417349457
- **Authorized official:** MS. JANA GAUTREAUX NP (PRESIDENT)
- **Authorized official phone:** (225) 333-9559

## Contact information

- **Practice address:** 814 MAIN ST, FRANKLIN, LA 70538-5441
- **Practice address phone:** (043) 020-3845
- **Practice address fax:** (985) 231-0213
- **Mailing address:** 101 JACKSON ST, FRANKLIN, LA 70538-5430
- **Mailing address phone:** (225) 333-9559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | 06792 | LA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2015
- **Last updated:** 04/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2194569 | — | LA |
