Individual provider · Type 1 NPI

Kyle Damon Juneau, NP

Nurse Practitioner · Baton Rouge, LA

NPI number 1053646125 Active

Practice location

12525 Perkins Rd, Suite B
Baton Rouge, LA 70810-1907

Call (225) 819-8857 Map

Fax (225) 767-6822

Mailing address

7777 Hennessy Blvd, Suite 1004-154
Baton Rouge, LA 70808-4300

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	PERMIT 2187 (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 1053646125

Kyle Damon Juneau, NP's National Provider Identifier is 1053646125, issued on Oct 7, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 5, 2015.