Detwiler, Janci Bienvenu

Detwiler, Janci Bienvenu is an sole proprietor health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Detwiler, Janci Bienvenu can be contacted via phone (337) 470-2017.

Contact Information

Primary practice address
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917
Phone: (337) 470-2017
Fax: (337) 470-2809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP08962 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP08962 Louisiana

Profile Details

NPI number 1144673344
LBN Legal business name Detwiler, Janci Bienvenu
Credentials CPNP-PC/AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2016
Last updated Mar 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144673344 NPPES
Louisiana Other AP08962 STATE LICENSE

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