Healthcare Provider Details

I. General information

NPI: 1912005737
Provider Name (Legal Business Name): ELIZABETH N FARRIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH N. GUARINO PA

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8751 SULLIVAN RD
BATON ROUGE LA
70818-6014
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-262-8377
  • Fax: 225-262-1800
Mailing address:
  • Phone: 225-262-8377
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number200079
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: