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NPI Code Detail

MEDICARE: JILLIAN LANDRY FNP-C

MEDICARE: JILLIAN LANDRY FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner247368LA

General Provider Information

NPI Number : 1235064106
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN LANDRY FNP-C
Provider Business Mailing Address
First Line : 16448 PARKER PLACE DR
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-5403
Country : US
Telephone Number : 225-678-9199
Fax Number : 225-678-9199
Provider Business Practice Location Address
First Line : 4363 CONVENTION ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-3906
Country : US
Telephone Number : 225-522-4076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ JILLIAN LANDRY FNP-C” Practice Location

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