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NPI Code Detail

MEDICARE: JAMIE BELGARD FNP-BC, PMHNP-BC

MEDICARE: JAMIE BELGARD FNP-BC, PMHNP-BC
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
1363LF0000XFamily Nurse PractitionerAP07351LA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP07351LA

General Provider Information

NPI Number : 1396186482
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE BELGARD FNP-BC, PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 35
Second Line :
City : LIBUSE
State : LA
Zip : 71348-0035
Country : US
Telephone Number : 318-448-7333
Fax Number :
Provider Business Practice Location Address
First Line : 44 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3960
Country : US
Telephone Number : 318-445-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2013
Last Update Date : 10/15/2024

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