MEDICARE: TAMMY SUE HEBERT-BRILEY FNP

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	5446	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	:	1750547022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY SUE HEBERT-BRILEY FNP

Provider Business Mailing Address
First Line	:	113 RIVERBIRCH DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-1820
Country	:	US
Telephone Number	:	337-739-6908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 W PINHOOK RD STE 9
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3454
Country	:	US
Telephone Number	:	337-419-0904
Fax Number	:	337-310-7392

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

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	06/16/2026

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