Individual
MRS. JANICE RODGERS BOLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CARN
Contact information
Practice address
302 DULLES DR, SUITE 1, LAFAYETTE, LA 70506-3008
(337) 262-5870
(337) 262-1272
Mailing address
113 KINCAID CT, LAFAYETTE, LA 70508-8029
(337) 857-2008
(337) 262-1272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
35367
LA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
3852
LA
Other
Enumeration date
02/01/2007
Last updated
09/11/2025
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