Provider Demographics
NPI:1447827340
Name:HEBERT, PATRICE LEBLANC (FNP-C)
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:LEBLANC
Last Name:HEBERT
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 1:1516 CHEMIN METAIRIE RD STE A
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-2000
Mailing Address - Country:US
Mailing Address - Phone:337-450-3022
Mailing Address - Fax:337-450-3024
Practice Address - Street 1:1516 CHEMIN METAIRIE RD STE A
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-2000
Practice Address - Country:US
Practice Address - Phone:337-450-3022
Practice Address - Fax:337-450-3024
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA220989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3938456Medicaid