1972891109 NPI number — JILL VAUGHAN RENEAU

Table of content: JILL VAUGHAN RENEAU (NPI 1972891109)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972891109 NPI number — JILL VAUGHAN RENEAU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RENEAU
Provider First Name:
JILL
Provider Middle Name:
VAUGHAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972891109
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 159
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRBANKS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71240-0159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-366-9918
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10374 US 165
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STERLINGTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71280-0159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-665-9950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA.200484.RX , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2304747 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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