Healthcare Provider Details

I. General information

NPI: 1467373795
Provider Name (Legal Business Name): DAVID JEROME PLANCHARD RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 TEDDY DR STE A
BATON ROUGE LA
70809-1980
US

IV. Provider business mailing address

16035 WOODLAND TRL
BATON ROUGE LA
70817-3188
US

V. Phone/Fax

Practice location:
  • Phone: 225-324-0257
  • Fax: 225-928-0364
Mailing address:
  • Phone: 225-324-0257
  • Fax: 225-928-0364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN083758
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: