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NPI Code Detail

MEDICARE: DEBORAH JANE HEXTALL R.N.BC

MEDICARE: DEBORAH JANE HEXTALL R.N.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
1163WP0808XPsychiatric/Mental Health Registered NurseRN041137LA
2163W00000XRegistered Nurse41137LA

General Provider Information

NPI Number : 1457404949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH JANE HEXTALL R.N.BC
Provider Business Mailing Address
First Line : 835 PRIDE DR STE B
Second Line :
City : HAMMOND
State : LA
Zip : 70401-9527
Country : US
Telephone Number : 985-543-4730
Fax Number : 985-543-4752
Provider Business Practice Location Address
First Line : 835 PRIDE DR STE B
Second Line :
City : HAMMOND
State : LA
Zip : 70401-9527
Country : US
Telephone Number : 985-543-4730
Fax Number : 985-543-4752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 04/08/2024

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Directions to “ DEBORAH JANE HEXTALL R.N.BC” Practice Location

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