Individual
MRS. LAURA CHAVERS BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 J.W. DAVIS DRIVE, HAMMOND, LA 70403
(985) 350-6505
(985) 350-6509
Mailing address
1000 J.W. DAVIS DRIVE, HAMMOND, LA 70403
(985) 350-6505
(985) 350-6509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN097188
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027774
—
LA
01
—
DO6873
MEDICARE RAILROAD GROUP PTAN
LA
01
—
P00780481
MEDICARE RAILROAD PTAN
LA
Enumeration date
08/20/2007
Last updated
07/13/2010
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