Individual
MR. KOLLIN JAMES MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
118 RUE FONTAINE, LAFAYETTE, LA 70508-5745
(337) 534-8680
(337) 769-9934
Mailing address
118 RUE FONTAINE, LAFAYETTE, LA 70508-5745
(337) 534-8680
(337) 769-9934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227231
LA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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