Individual provider · Type 1 NPI

Jacob Dwayne Labatut

Nurse Practitioner · Baton Rouge, LA

NPI number 1003555624 Active

Practice location

8585 Picardy Ave Ste 110
Baton Rouge, LA 70809-3749

Fax (225) 769-5424

Mailing address

39438 Highway 929
Prairieville, LA 70769-4927

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN154204 (LA)
Nurse Practitioner Primary 363L00000X226191 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003555624

Jacob Dwayne Labatut's National Provider Identifier is 1003555624, issued on Jun 1, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 28, 2024.