Individual provider · Type 1 NPI

Kori Fogg Juban

Nurse Practitioner · Walker, LA

NPI number 1346761301 Active

Practice location

5000 Odonavan Blvd Ste 404
Walker, LA 70785-6355

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP09218 (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…

5 other providers at this address

About NPI 1346761301

Kori Fogg Juban's National Provider Identifier is 1346761301, issued on Jun 29, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walker, LA. The record was last updated on Mar 30, 2021.