Provider Demographics
NPI:1588767610
Name:GIRARD, KERI (NP)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:GIRARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:
Other - Last Name:BURKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15748 MEDICAL ARTS PLAZA
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403
Mailing Address - Country:US
Mailing Address - Phone:985-542-0663
Mailing Address - Fax:985-542-7010
Practice Address - Street 1:15748 MEDICAL ARTS PLAZA
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403
Practice Address - Country:US
Practice Address - Phone:985-542-0663
Practice Address - Fax:985-542-7010
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04204363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1314790Medicaid
LA1314790Medicaid
LA4H796D628Medicare PIN