Individual
JENNIFER D DUBUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15813 PAUL VEGA MD DR STE 201, HAMMOND, LA 70403-1431
(985) 230-7440
(985) 230-7441
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203731
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504029
—
LA
Enumeration date
02/12/2019
Last updated
12/08/2022
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