Healthcare Provider Details

I. General information

NPI: 1750879672
Provider Name (Legal Business Name): STACI RECOTTA JONES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MAIN ST
FRANKLINTON LA
70438-3688
US

IV. Provider business mailing address

PO BOX 1536
MANDEVILLE LA
70470-1536
US

V. Phone/Fax

Practice location:
  • Phone: 985-839-4431
  • Fax:
Mailing address:
  • Phone: 985-635-6943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09842
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP09842
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: