Healthcare Provider Details

I. General information

NPI: 1760156418
Provider Name (Legal Business Name): NATIONAL HANSEN'S DISEASE PROGRAM (NHDP)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9181 INTERLINE AVE
BATON ROUGE LA
70809-1900
US

IV. Provider business mailing address

9181 INTERLINE AVE
BATON ROUGE LA
70809-1900
US

V. Phone/Fax

Practice location:
  • Phone: 800-642-2477
  • Fax: 225-756-3706
Mailing address:
  • Phone: 800-642-2477
  • Fax: 225-756-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0904X
TaxonomyFederal Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMY L BOWMAN
Title or Position: DEPUTY DIRECTOR, NHDP
Credential: FNP-C
Phone: 225-756-3713