Healthcare Provider Details

I. General information

NPI: 1801382577
Provider Name (Legal Business Name): KRISTEN DUPLECHIN GUILLORY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 07/22/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 LEON AVE STE B
EUNICE LA
70535-3938
US

IV. Provider business mailing address

151 LEON AVE STE B
EUNICE LA
70535-3938
US

V. Phone/Fax

Practice location:
  • Phone: 337-457-8166
  • Fax: 888-371-3069
Mailing address:
  • Phone: 337-457-8166
  • Fax: 888-371-3069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10009
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP10009
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: