Healthcare Provider Details

I. General information

NPI: 1689406118
Provider Name (Legal Business Name): FIONA DILLON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 E RAILROAD AVE
INDEPENDENCE LA
70443-2710
US

IV. Provider business mailing address

PO BOX 770
ZACHARY LA
70791-0770
US

V. Phone/Fax

Practice location:
  • Phone: 225-306-2060
  • Fax: 225-308-2572
Mailing address:
  • Phone: 225-306-2067
  • Fax: 985-229-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number236167
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number80379
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: