Individual provider · Type 1 NPI
Tunya S. Jack
Psychiatric/Mental Health Nurse Practitioner · Baton Rouge, LA
NPI number
1508324047
Active
Practice location
1241 Shadybrook Dr
Baton Rouge, LA 70816-1273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 204007 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1077321 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1508324047
Tunya S. Jack's National Provider Identifier is 1508324047, issued on Mar 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baton Rouge, LA. The record was last updated on Dec 11, 2024.