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Organization

JANA GAUTREAUX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANA GAUTREAUX NP (PRESIDENT)
(225) 333-9559
Entity
Organization

Contact information

Practice address
814 MAIN ST, FRANKLIN, LA 70538-5441
(043) 020-3845
(985) 231-0213
Mailing address
101 JACKSON ST, FRANKLIN, LA 70538-5430
(225) 333-9559

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
363LF0000X
Family Nurse Practitioner
06792
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194569
LA
Enumeration date
02/27/2015
Last updated
04/18/2022
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