Divinity Healthcare Clinic
NPI #1326676792 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1326676792
- Entity Type
- Organization
- Organization Name
- Divinity Healthcare Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 31, 2020
- Last Updated
- May 5, 2020
Practice Location
- Address
- 4021 WE HECK CT STE B1
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-0405
- Phone
- (225) 256-7945
Authorized Official
- Name
- MRS. DAWN MELANCON, FNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (225) 301-2982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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