MEDICARE: MRS. CHRISTY COOK PERRY APRNBC,PMHNP

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	363LA2200X	Adult Health Nurse Practitioner	AP04441	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP04441	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295860815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTY COOK PERRY APRNBC,PMHNP

Provider Business Mailing Address
First Line	:	8490 PICARDY AVE
Second Line	:	BLDG 200
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3731
Country	:	US
Telephone Number	:	225-237-1754
Fax Number	:	225-237-1722

Provider Business Practice Location Address
First Line	:	4045 NORTH BLVD STE B
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3830
Country	:	US
Telephone Number	:	225-387-7652
Fax Number	:	225-381-2621

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	10/29/2014

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