Healthcare Provider Details

I. General information

NPI: 1952033417
Provider Name (Legal Business Name): RACHEL GILL KOJIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL G KOJIS FNP-C

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 PERKINS RD
BATON ROUGE LA
70808-4373
US

IV. Provider business mailing address

8429 OAKBROOK DR
BATON ROUGE LA
70810-1819
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-4044
  • Fax:
Mailing address:
  • Phone: 225-278-4990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06220758
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: