Individual
KACI DEVILLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
821 N UNION ST, OPELOUSAS, LA 70570-6313
(337) 948-1802
Mailing address
1630 PRISON RD, COTTONPORT, LA 71327-4055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214937
LA
Other
Enumeration date
08/23/2020
Last updated
07/05/2022
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