# CYNTHIA FUSSELL NP, LLC

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

## Provider details

- **NPI number:** 1720742935
- **Authorized official:** CYNTHIA C FUSSELL NP (OWNER)
- **Authorized official phone:** (985) 507-2020

## Contact information

- **Practice address:** 19153 COUNTRY CLUB LN, HAMMOND, LA 70401-3426
- **Practice address phone:** (985) 507-2020
- **Mailing address:** 19153 COUNTRY CLUB LN, HAMMOND, LA 70401-3426
- **Mailing address phone:** (985) 507-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 06/13/2022