Individual provider · Type 1 NPI
Glenn Jerome Landry, NP
Adult Health Nurse Practitioner · Baton Rouge, LA
NPI number
1629375712
Active
Practice location
4950 Essen Ln Ste 503
Baton Rouge, LA 70809-3738
Fax (225) 765-1842
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Other practice locations
- 7777 Hennessy Blvd, Suite 217, Baton Rouge, LA 70808-4300 · (225) 765-1737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 06368 (LA) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629375712
Glenn Jerome Landry, NP's National Provider Identifier is 1629375712, issued on Feb 25, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baton Rouge, LA. The record was last updated on Dec 29, 2020.