Individual
MRS. MONIQUE BIANCA DECLOUET-DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2001 MOSS ST STE 1200, LAFAYETTE, LA 70501
(337) 761-0211
(337) 227-6272
Mailing address
PO BOX 740012, ATLANTA, GA 30374-0012
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP059059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1820105
—
LA
Enumeration date
10/19/2009
Last updated
07/17/2025
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