Individual
JONATHAN DANIEL IEYOUB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNPC
Contact information
Practice address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 927-0988
Mailing address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 927-0988
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO4309
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178624
—
LA
Enumeration date
03/07/2006
Last updated
07/21/2022
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