Individual
JANCI BIENVENU DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC/AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08962
LA
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP08962
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP08962
STATE LICENSE
LA
Enumeration date
07/22/2016
Last updated
03/04/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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