DR. JACQUELINE PROVOSTY GUILLOT (NPI# 1265867568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265867568 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE PROVOSTY GUILLOT |
| Credential | M.D. |
| Practice Address |
717 N Beau Chene Dr Mandeville LA 70471-1615 |
| Practice Telephone | 9859664405 |
| Mailing Telephone | 9859664405 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD.09243R | LA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD.09243R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
717 N BEAU CHENE DR |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871504290 | Kenneth J Capone | Pediatrics | 201 Saint Ann Dr, Suite B, Mandeville, LA 70471-3219 | 2006-08-10 |
| 1144249319 | Tin Tin Swe Devoe | Pediatrics | 4880 Highway 22, Mandeville, LA 70471-6748 | 2006-07-19 |
| 1609834209 | Spring Cloud Neill | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-05-03 |
| 1386928042 | Leblanc Pediatrics LLC | Pediatrics | 1100 N Causeway Blvd, Suite 104, Mandeville, LA 70471-3209 | 2011-09-29 |
| 1780780528 | Isaac A Odudu | Pediatrics | 639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 | 2006-09-16 |
| 1407868987 | Joshua B Leblanc | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-08-12 |
| 1134146947 | Julie Marie Baham | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-07-16 |
| 1891722732 | Henrynne Ann Louden | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-06-27 |
| 1104867035 | Naglaa A Shourbaji | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-06-10 |
| 1649211848 | Charles Scher | Pediatrics | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2006-06-09 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on DR. JACQUELINE PROVOSTY GUILLOT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.