Healthcare Provider Details

I. General information

NPI: 1902325699
Provider Name (Legal Business Name): DAVID ANDREW PLAISANCE FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13406 AIRLINE HWY
BATON ROUGE LA
70817-5917
US

IV. Provider business mailing address

13406 AIRLINE HWY
BATON ROUGE LA
70817-5917
US

V. Phone/Fax

Practice location:
  • Phone: 225-753-7233
  • Fax:
Mailing address:
  • Phone: 225-753-7233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number214486
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberAP09467
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: