Individual
MS. JOHNICA ANN HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ANP
Contact information
Practice address
850 KALISTE SALOOM RD STE 122, LAFAYETTE, LA 70508-4230
(337) 235-9355
(337) 235-9356
Mailing address
850 KALISTE SALOOM RD, STE 122, LAFAYETTE, LA 70508-4230
(337) 235-9355
(337) 235-9356
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN115555-AP06066
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06066
LA
Other
Enumeration date
05/06/2010
Last updated
07/30/2019
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