Organization
PINE PRAIRIE FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DOUCET (FNP)
(337) 779-6000
Entity
Organization
Contact information
Practice address
1015 SANDERS STREET, PINE PRAIRIE, LA 70576-3611
(337) 599-2850
(337) 599-2852
Mailing address
1015 SANDERS STREET, PO BOX 736, PINE PRAIRIE, LA 70576-3611
(337) 599-2850
(337) 599-2852
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/11/2021
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