Individual provider · Type 1 NPI

Brandy Fontenot

Nurse Practitioner · Lake Charles, LA

NPI number 1205425154 Active

Practice location

801 W Bayou Pines Dr
Lake Charles, LA 70601-7076

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X219160 (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…

3 other providers at this address

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About NPI 1205425154

Brandy Fontenot's National Provider Identifier is 1205425154, issued on Jan 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 22, 2026.