Peacock, Sandra M

Peacock, Sandra M is an individual health care provider with primary practice located at 423 Cypress St , Sulphur LA 70663-4964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Peacock, Sandra M can be contacted via phone (337) 528-7992.

Contact Information

Primary practice address
423 Cypress St Sulphur LA 70663-4964
Phone: (337) 528-7992
Fax: (337) 528-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X AP02623 Louisiana

Profile Details

NPI number 1780909036
LBN Legal business name Peacock, Sandra M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Mar 30th, 2010 - about 14 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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