Individual
JOHILE EVERETTE CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6550 MAIN ST, SUITE 1000, ZACHARY, LA 70791-4092
(225) 654-1559
(225) 654-6212
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-5864
(985) 876-0317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124710
LA
363L00000X
Nurse Practitioner
Primary
AP08609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415310
—
LA
Enumeration date
12/30/2015
Last updated
05/04/2016
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