Individual
TAYLOR R. MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
19065 DR JOHN LAMBERT DR STE 2000B, HAMMOND, LA 70403-1027
(985) 293-2030
(833) 756-2682
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221506
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221506
NP LICENSE NUMBER
LA
Enumeration date
09/13/2021
Last updated
11/11/2024
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