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NPI Code Detail

MEDICARE: PAMELA DUPONT PSYCHIATRIC SERVICES LLC

MEDICARE: PAMELA DUPONT PSYCHIATRIC SERVICES LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1588965461
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAMELA DUPONT PSYCHIATRIC SERVICES LLC
Provider Business Mailing Address
First Line : 4480 GENERAL DEGAULLE DR
Second Line : SUITE 105
City : NEW ORLEANS
State : LA
Zip : 70131-6941
Country : US
Telephone Number : 504-363-2121
Fax Number : 504-364-8044
Provider Business Practice Location Address
First Line : 4480 GENERAL DEGAULLE DR
Second Line : SUITE 105
City : NEW ORLEANS
State : LA
Zip : 70131-6941
Country : US
Telephone Number : 504-363-2121
Fax Number : 504-364-8044
Authorized Official
Title or Position : OWNER
Name : PAMELA T. DUPONT
Credential : NP
Telephone Number : 504-363-2121
Provider Enumeration Date : 11/09/2010
Last Update Date : 11/10/2010

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Directions to “PAMELA DUPONT PSYCHIATRIC SERVICES LLC ” Practice Location

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