MEDICARE: NATIONAL HANSEN'S DISEASE PROGRAM (NHDP)

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
1	333600000X	Pharmacy
2	261QP0904X	Federal Public Health Clinic/Center

General Provider Information

NPI Number	:	1760156418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL HANSEN'S DISEASE PROGRAM (NHDP)

Provider Business Mailing Address
First Line	:	9181 INTERLINE AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1900
Country	:	US
Telephone Number	:	800-642-2477
Fax Number	:	225-756-3706

Provider Business Practice Location Address
First Line	:	9181 INTERLINE AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1900
Country	:	US
Telephone Number	:	800-642-2477
Fax Number	:	225-756-3706

Authorized Official
Title or Position	:	DEPUTY DIRECTOR, NHDP
Name	:	AMY L BOWMAN
Credential	:	FNP-C
Telephone Number	:	225-756-3713

Provider Enumeration Date	:	08/05/2021
Last Update Date	:	05/27/2026

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