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General NPI Number Information
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NPI Number | 1194654251
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Entity Type | Individual
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Provider Name | TRACHESSA MARKS APRN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 315 S COLLEGE RD STE 220
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City | LAFAYETTE
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State | LA
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Zip | 70503-3221
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Country | US
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Telephone | 337-443-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 9557 GLENNSADE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70814-4073
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Country | US
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Telephone | 225-747-4135
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 245980
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License Number State | LA
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