Individual provider · Type 1 NPI

Janci Bienvenu Detwiler, CPNP-PC/AC

Pediatric Nurse Practitioner · Lafayette, LA

NPI number 1144673344 Active

Practice location

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Call (337) 470-2017 Map

Fax (337) 470-2809

Mailing address

612 Burlington Cir
Broussard, LA 70518-7414

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222XAP08962 (LA)
Pediatric Nurse Practitioner Primary 363LP0200XAP08962 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144673344

Janci Bienvenu Detwiler, CPNP-PC/AC's National Provider Identifier is 1144673344, issued on Jul 22, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lafayette, LA. The record was last updated on Mar 4, 2021.