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Individual

MR. JODY PATRICK NUNNERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
56365 STRAUGHAN NURSERY RD, LORANGER, LA 70446-2817
(985) 878-0385
Mailing address
56365 STRAUGHAN NURSERY RD, LORANGER, LA 70446-2817
(985) 878-0385

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07451
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952742496
BCBS OF LA
LA
01
AP07451
LICENSE
LA
Enumeration date
07/12/2013
Last updated
12/30/2025
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