Individual
TAYLOR LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8166 MAIN ST STE 201, HOUMA, LA 70360-3404
(985) 857-8093
(985) 857-8902
Mailing address
PO BOX 6014, HOUMA, LA 70361-6014
(985) 850-6398
(985) 873-3789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224236
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224236
STATE LICENSE
LA
Enumeration date
02/10/2022
Last updated
02/10/2022
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