Healthcare Provider Details

I. General information

NPI: 1336293976
Provider Name (Legal Business Name): HEATHER LYNN TRANT P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER LYNN BRUCE P.A.-C.

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 JEFFERSON HWY
BATON ROUGE LA
70809-2440
US

IV. Provider business mailing address

9103 JEFFERSON HWY
BATON ROUGE LA
70809-2440
US

V. Phone/Fax

Practice location:
  • Phone: 225-927-1190
  • Fax: 225-927-0988
Mailing address:
  • Phone: 225-927-1190
  • Fax: 225-927-0988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA05146
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number302254
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: