Threatts, Danielle Jackson

Threatts, Danielle Jackson is an individual health care provider with primary practice located at 105 Independence Blvd Ste 1 , Lafayette LA 70506-8710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Threatts, Danielle Jackson can be contacted via phone (337) 534-4087.

Contact Information

Primary practice address
105 Independence Blvd Ste 1 Lafayette LA 70506-8710
Phone: (337) 534-4087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP07019 Louisiana

Profile Details

NPI number 1033465778
LBN Legal business name Threatts, Danielle Jackson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2012
Last updated May 1st, 2020 - about 5 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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