# JGC-NP, LLC

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

## Provider details

- **NPI number:** 1639499932
- **Authorized official:** MR. JOHN GARY CHANEY N.P. (NURSE PRACTITIONER)
- **Authorized official phone:** (225) 928-2468

## Contact information

- **Practice address:** 4040 NORTH BLVD STE A, BATON ROUGE, LA 70806-3829
- **Practice address phone:** (225) 928-2468
- **Mailing address:** 4040 NORTH BLVD STE A, BATON ROUGE, LA 70806-3829
- **Mailing address phone:** (225) 928-2468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | AP06115 | LA | Yes |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 06/09/2010