# CLINTON FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1790679579
- **Authorized official:** NICOLE JARREAU FNP (OWNER)
- **Authorized official phone:** (225) 522-3410

## Contact information

- **Practice address:** 10793 PLANK ROAD, CLINTON, LA 70722
- **Practice address phone:** (225) 522-3410
- **Mailing address:** 10793 PLANK ROAD, CLINTON, LA 70722
- **Mailing address phone:** (225) 522-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2025
- **Last updated:** 06/05/2025