Individual
MRS. JEANNE BIENVENU DAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5488
(985) 646-5720
Mailing address
1027 SAINT MARY ST, SLIDELL, LA 70460-2325
(985) 649-0513
(985) 646-5488
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP03986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142620
—
LA
Enumeration date
03/28/2008
Last updated
03/28/2008
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