Individual
JADE DUPRE CARRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
855 BELANGER ST STE 107, HOUMA, LA 70360
(985) 851-0059
Mailing address
855 BELANGER ST STE 107, HOUMA, LA 70360-4463
(985) 851-0059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R899678
MS
363LG0600X
Gerontology Nurse Practitioner
R899678
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08750525
—
MS
Enumeration date
07/21/2015
Last updated
08/28/2019
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