Perrault, Stacey Smith
Perrault, Stacey Smith is an individual health care provider with primary practice located at 5339 Didesse Dr , Baton Rouge LA 70808-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perrault, Stacey Smith can be contacted via phone (225) 765-3076.Contact Information
Primary practice address
5339 Didesse Dr
Baton Rouge LA 70808-4306
Phone: (225) 765-3076
Fax: (225) 765-3090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04588 | Louisiana |
Profile Details
| NPI number | 1710961677 |
|---|---|
| LBN Legal business name | Perrault, Stacey Smith |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Dec 3rd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710961677 | NPPES |
| Louisiana | MEDICAID | 1478831 | |
| Louisiana | Other | P00251944 |
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