Individual provider · Type 1 NPI

Mark Declouet, NP

Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA

NPI number 1386925683 Active

Practice location

315 Audubon Blvd
Lafayette, LA 70503-2610

Call (337) 522-7573 Map

Fax (337) 210-3058

Mailing address

PO Box 53709
Lafayette, LA 70505-3709

Other practice locations

  • 5448 Provine Pl Ste A, Alexandria, LA 71303-3983 · (318) 545-2451
  • 217 Brevard Ct Ste C, Alexandria, LA 71303-3997 · (318) 545-2451
  • 44 Versailles Blvd, Alexandria, LA 71303-3960 · (318) 445-5111

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP08202 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1386925683

Mark Declouet, NP's National Provider Identifier is 1386925683, issued on Aug 31, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Dec 29, 2020.