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
Fax: (225) 765-3090
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710961677 NPPES
Louisiana MEDICAID 1478831
Louisiana Other P00251944

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