MEDICARE: ALLYSON HEBERT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1096558	TX

General Provider Information

NPI Number	:	1043936602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON HEBERT FNP-C

Provider Business Mailing Address
First Line	:	604 N ACADIA RD STE 101
Second Line	:
City	:	THIBODAUX
State	:	LA
Zip	:	70301-4897
Country	:	US
Telephone Number	:	985-446-5079
Fax Number	:	877-795-9281

Provider Business Practice Location Address
First Line	:	2308 E MAIN ST STE B
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-369-3683
Fax Number	:	877-796-6140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	02/27/2026

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