Individual
CRYSTAL CARACCIOLI HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5131 ODONOVAN DR STE 300, BATON ROUGE, LA 70808-4792
(225) 374-0400
(225) 374-0430
Mailing address
5131 ODONOVAN DR STE 300, BATON ROUGE, LA 70808-4792
(225) 374-0400
(225) 374-0430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211927
LA
Other
Enumeration date
02/24/2020
Last updated
03/24/2021
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