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NPI Code Detail

MEDICARE: DANIELLE FONTENOT POOLE APRN

MEDICARE:   DANIELLE FONTENOT POOLE  APRN
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 PractitionerAP09153LA

General Provider Information

NPI Number : 1811435688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE FONTENOT POOLE APRN
Provider Business Mailing Address
First Line : 322 PARK AVE
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-4522
Country : US
Telephone Number : 337-522-8847
Fax Number : 337-516-1887
Provider Business Practice Location Address
First Line : 104 N SAINT CHARLES ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5104
Country : US
Telephone Number : 337-516-1770
Fax Number : 337-516-1887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 03/27/2024

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Directions to “ DANIELLE FONTENOT POOLE APRN” Practice Location

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