Individual
MR. MATTHEW PAUL VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
114 N LAKE ARTHUR AVE, JENNINGS, LA 70546-5738
(337) 246-7282
(866) 788-0477
Mailing address
114 N LAKE ARTHUR AVE, JENNINGS, LA 70546-5738
(337) 246-7282
(866) 788-0477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06587
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164252
—
LA
Enumeration date
07/23/2011
Last updated
04/09/2015
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