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Organization
JGC-NP, LLC
Active
Organization
JGC-NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GARY CHANEY N.P. (NURSE PRACTITIONER)
(225) 928-2468
Entity
Organization
Contact information
Practice address
4040 NORTH BLVD STE A, BATON ROUGE, LA 70806-3829
(225) 928-2468
Mailing address
4040 NORTH BLVD STE A, BATON ROUGE, LA 70806-3829
(225) 928-2468
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
AP06115
LA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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