Individual
MRS. PAMELA DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4266 W MAIN ST STE 100, GRAY, LA 70359-6421
(985) 856-7893
(985) 873-0014
Mailing address
4266 W MAIN ST STE 100, GRAY, LA 70359-6421
(985) 856-7893
(985) 873-0014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 040450
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
04921
LA
Other
Enumeration date
06/29/2006
Last updated
07/09/2015
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