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NPI Code Detail

MEDICARE: STACI RECOTTA JONES APRN, FNP-C

MEDICARE: STACI RECOTTA JONES APRN, FNP-C
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 PractitionerAP09842LA
2363L00000XNurse PractitionerAP09842LA

Other Identifiers

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

General Provider Information

NPI Number : 1750879672
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI RECOTTA JONES APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 1536
Second Line :
City : MANDEVILLE
State : LA
Zip : 70470-1536
Country : US
Telephone Number : 985-635-6943
Fax Number :
Provider Business Practice Location Address
First Line : 1900 MAIN ST
Second Line :
City : FRANKLINTON
State : LA
Zip : 70438-3688
Country : US
Telephone Number : 985-839-4431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 05/12/2026

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