Organization · Type 2 NPI
CCP Primary Care Center
Nurse Practitioner · Lafayette, LA
Practice location
1101 Eraste Landry Rd
Lafayette, LA 70506-3043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine Physician | 208VP0000X | 022833 (LA) |
| Nurse Practitioner Primary | 363L00000X | AP04512 (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…
2 other providers at this address
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About NPI 1336115997
CCP Primary Care Center's National Provider Identifier is 1336115997, issued on Feb 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lafayette, LA. The record was last updated on Sep 11, 2025.