Individual
JOEL O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 634-4060
(985) 256-5687
Mailing address
710 DOUBLE J RD, COVINGTON, LA 70433-6353
(985) 634-4060
(985) 256-5687
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226664
LA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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