| Clinton Family Practice LLC | |
|
10793 Plank Road Clinton LA 70722 | |
| (225) 522-3410 | |
| Not Available |
| Full Name | Clinton Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 10793 Plank Road, Clinton, Louisiana |
| Authorized Official Name and Position | Nicole Jarreau (OWNER) |
| Authorized Official Contact | 2255223410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Family Practice LLC 10793 Plank Road Clinton LA 70722 Ph: (225) 522-3410 | Clinton Family Practice LLC 10793 Plank Road Clinton LA 70722 Ph: (225) 522-3410 |
| NPI Number | 1790679579 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 6901314111 |
|---|---|
| Medicare Enrollment ID | O20250731000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790679579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nicole M Jarreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376984468 PECOS PAC ID: 0042445595 Enrollment ID: I20131108001504 |
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