Provider Demographics
NPI:1124719919
Name:GUIDRY, JALAINA (FNP-C)
Entity type:Individual
Prefix:
First Name:JALAINA
Middle Name:
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 PIERRE MATTE ROAD
Mailing Address - Street 2:
Mailing Address - City:BRANCH
Mailing Address - State:LA
Mailing Address - Zip Code:70516
Mailing Address - Country:US
Mailing Address - Phone:337-581-0489
Mailing Address - Fax:
Practice Address - Street 1:1786 PIERRE MATTE ROAD
Practice Address - Street 2:
Practice Address - City:BRANCH
Practice Address - State:LA
Practice Address - Zip Code:70516
Practice Address - Country:US
Practice Address - Phone:337-581-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily