Healthcare Provider Details

I. General information

NPI: 1841720984
Provider Name (Legal Business Name): JANET HOOD MERRIMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5760 MONTICELLO DR
SAINT GABRIEL LA
70776-4412
US

IV. Provider business mailing address

PO BOX 209
SAINT GABRIEL LA
70776-0209
US

V. Phone/Fax

Practice location:
  • Phone: 225-642-9676
  • Fax: 225-642-9696
Mailing address:
  • Phone: 225-642-9676
  • Fax: 225-642-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP09328
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13454
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number13454
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: