Healthcare Provider Details

I. General information

NPI: 1497193528
Provider Name (Legal Business Name): CORA R CHENEVERT MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 FRONT STREET
CHENEYVILLE LA
71325
US

IV. Provider business mailing address

PO BOX 385
CHENEYVILLE LA
71325-0385
US

V. Phone/Fax

Practice location:
  • Phone: 318-279-2300
  • Fax: 318-279-2302
Mailing address:
  • Phone: 318-279-2300
  • Fax: 318-279-2302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPO7392
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number133857
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: