MS. JO ANNA DOMIANO LEBLANC


Address: 1200 David Dr, Morgan City, LA 70380-1362
Phone: 9853802441

MS. JO ANNA DOMIANO LEBLANC (NPI# 1730178492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730178492
Entity Type Individual
Full Name MS. JO ANNA DOMIANO LEBLANC
Credential NURSE PRACTITIONER
Practice Address 1200 David Dr
Morgan City
LA 70380-1362
Mailing Address 607 Fairview Dr
Berwick
LA 70342-2084
Practice Telephone 9853802441
Practice Fax Number 9853802489
Mailing Telephone 9853854357
Enumeration Date 2005-10-17
Last Update Date 2014-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN045561 AP02308 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 DAVID DR
City MORGAN CITY
State LA
Zip Code 70380-1362

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1235449067 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 2010-10-14
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578936811 Tiffany Waguespack Nurse Practitioner 1151 Marguerite St, Ste 700a, Morgan City, LA 70380-1850 2015-11-09
1598087827 Shelly Lobell Matherne Nurse Practitioner 1216 N Victor II Blvd, Suite 100, Morgan City, LA 70380-1382 2010-03-01

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NPI Name Taxonomy Address Enumeration
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1396233078 Megan C Riley Nurse Practitioner 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 2018-04-27
1356759153 Mary Tillman Acosta Nurse Practitioner 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 2014-07-24
1710226204 Tara Rae Thompson Nurse Practitioner 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 2013-02-04
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1225361827 Paulette Guidry Landry Nurse Practitioner U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 2009-09-14
1467695700 Heather M Lenox Nurse Practitioner 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 2009-04-16
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Competitor

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City MORGAN CITY
Zip Code 70380

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Dataset Information

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.

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