Individual
DAFFANEY J WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4303 PLANK RD, BATON ROUGE, LA 70805-4134
(225) 384-6124
(225) 256-0490
Mailing address
PO BOX 66985, BATON ROUGE, LA 70896-6985
(225) 202-2875
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
221452
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221452
LA
Other
Enumeration date
08/02/2021
Last updated
10/26/2023
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