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NPI Code Detail

MEDICARE: CIERRA JANUARY FNP

MEDICARE:   CIERRA  JANUARY  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
1207Q00000XFamily Medicine PhysicianRN2329483MA

General Provider Information

NPI Number : 1841860798
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRA JANUARY FNP
Provider Business Mailing Address
First Line : PO BOX 792
Second Line :
City : BASTROP
State : LA
Zip : 71221-0792
Country : US
Telephone Number : 318-283-8887
Fax Number : 318-281-2559
Provider Business Practice Location Address
First Line : 314 N. FRANKLIN STREET
Second Line :
City : BASTROP
State : LA
Zip : 71221
Country : US
Telephone Number : 318-283-8887
Fax Number : 318-281-6339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 03/20/2025

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