Individual
BYRON KEITH FOURNET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
4811 AMBASSADOR CAFFERY PARKWAY, SUITE 401A, LAFAYETTE, LA 70508
(337) 456-6523
(337) 456-6521
Mailing address
PO BOX 70, MILTON, LA 70558
(337) 456-6523
(337) 456-6521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05857
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801089
—
LA
Enumeration date
06/15/2009
Last updated
05/11/2017
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