Individual
MARY ANN DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08724
LA
Other
Enumeration date
09/27/2016
Last updated
11/14/2016
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