Provider Demographics
NPI:1386458230
Name:O'NEAL, RAEGAN SWEET (APRN, CNP, FNP)
Entity type:Individual
Prefix:
First Name:RAEGAN
Middle Name:SWEET
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:APRN, CNP, FNP
Other - Prefix:
Other - First Name:RAEGAN
Other - Middle Name:MICHEL
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10606 LANDSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2829
Mailing Address - Country:US
Mailing Address - Phone:225-278-2114
Mailing Address - Fax:
Practice Address - Street 1:5000 HENNESSY BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4375
Practice Address - Country:US
Practice Address - Phone:225-765-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA210144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily