Individual
JULIE HEUDUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2104 LOOP RD STE C, WINNSBORO, LA 71295-3341
(318) 435-4571
Mailing address
PO BOX 1300, WINNSBORO, LA 71295-1300
(318) 435-9411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08687
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13857291
CAQH
—
01
—
2415425
MEDICARE
LA
05
—
2415425
—
LA
01
—
P02474677
RR MEDICARE
LA
Enumeration date
02/26/2016
Last updated
11/08/2023
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