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Individual

TODD CLEMENT GENRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
7777 HENNESSY BLVD, SUITE 101, BATON ROUGE, LA 70808-4300
(225) 765-4400
(225) 765-4440
Mailing address
7777 HENNESSY BLVD, SUITE 101, BATON ROUGE, LA 70808-4300
(225) 765-4400
(225) 765-4440

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
05417
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073199
LA
Enumeration date
03/28/2008
Last updated
01/07/2021
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