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Individual

MRS. GRACE BOURGEOIS DUFRENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1119 N MAIN ST, SAINT MARTINVILLE, LA 70582-3513
(337) 394-7774
(337) 394-8015
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 330-2576
(337) 321-6295

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN139058
LA
363LF0000X
Family Nurse Practitioner
226264
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226264
LA

Other

Enumeration date
03/18/2013
Last updated
01/26/2026
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