Individual
MS. NICOLE JULIE DUFRECHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 700, BATON ROUGE, LA 70808-4300
(225) 526-0006
(225) 765-9291
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0006
(225) 765-9291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200081.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355909
—
LA
Enumeration date
02/21/2007
Last updated
05/23/2016
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