Individual provider · Type 1 NPI

Danielle Jackson Threatts

Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA

NPI number 1033465778 Active

Practice location

105 Independence Blvd Ste 1
Lafayette, LA 70506-8710

Call (337) 534-4087 Map

Mailing address

405 N Parkerson St
Rayne, LA 70578-6544

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP07019 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1033465778

Danielle Jackson Threatts's National Provider Identifier is 1033465778, issued on Jul 31, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on May 1, 2020.