Healthcare Provider Details

I. General information

NPI: 1043755911
Provider Name (Legal Business Name): KRISTEN D VEILLON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W MAGNOLIA ST STE 2
BUNKIE LA
71322-1706
US

IV. Provider business mailing address

503 JACK MILLER RD STE B
VILLE PLATTE LA
70586-5607
US

V. Phone/Fax

Practice location:
  • Phone: 318-346-2288
  • Fax: 318-346-2299
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09108
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP09108
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: