Provider Demographics
NPI:1285947309
Name:GENTRY, KAMI BABINEAUX (APRN, NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:BABINEAUX
Last Name:GENTRY
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:MRS
Other - First Name:KAMI
Other - Middle Name:B
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NNP-BC
Mailing Address - Street 1:1759 KEVIN LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-7111
Mailing Address - Country:US
Mailing Address - Phone:337-479-2332
Mailing Address - Fax:
Practice Address - Street 1:4200 NELSON RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4118
Practice Address - Country:US
Practice Address - Phone:337-474-6370
Practice Address - Fax:337-475-4781
Is Sole Proprietor?:No
Enumeration Date:2010-07-18
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN094914163WN0002X
LAAP04722363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care