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Organization

CCP ENTERPRISES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY COOK-PERRY APRN (NP)
(225) 281-0324
Entity
Organization

Contact information

Practice address
19111 BELLERIVE CT, BATON ROUGE, LA 70809-6736
(225) 281-0324
(225) 755-7482
Mailing address
19111 BELLERIVE COURT, BATON ROUGE, LA 70809
(225) 281-0324
(225) 755-7482

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP0441
LA

Other

Enumeration date
06/21/2011
Last updated
06/21/2011
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