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NPI Code Detail

MEDICARE: MS. JEANETTE ELLEN HOTARD CFNP

MEDICARE:  MS. JEANETTE ELLEN HOTARD  CFNP
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 PractitionerAP03912LA
2363LF0000XFamily Nurse PractitionerRN067828 AP03912LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821098450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANETTE ELLEN HOTARD CFNP
Provider Business Mailing Address
First Line : 12 MUIRFIELD DR
Second Line :
City : LA PLACE
State : LA
Zip : 70068-1632
Country : US
Telephone Number : 504-259-6663
Fax Number :
Provider Business Practice Location Address
First Line : 1731 LUTCHER AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5151
Country : US
Telephone Number : 225-258-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 11/19/2022

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Directions to “ MS. JEANETTE ELLEN HOTARD CFNP” Practice Location

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