Individual
JOHN GARY CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APMHNP-BC
Contact information
Practice address
4040 NORTH BLVD STE A, BATON ROUGE, LA 70806-3829
(225) 928-2468
(225) 928-2498
Mailing address
19065 N JOOR RD, ZACHARY, LA 70791-8411
(225) 654-3829
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137409
—
LA
Enumeration date
05/05/2010
Last updated
03/27/2019
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