Organization · Type 2 NPI

CCP Enterprises, LLC

Psychiatric/Mental Health Nurse Practitioner · Baton Rouge, LA

NPI number 1659667301 Active

Practice location

19111 Bellerive Ct
Baton Rouge, LA 70809-6736

Call (225) 281-0324 Map

Fax (225) 755-7482

Mailing address

19111 Bellerive Court
Baton Rouge, LA 70809

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP0441 (LA)

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

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About NPI 1659667301

CCP Enterprises, LLC's National Provider Identifier is 1659667301, issued on Jun 21, 2011. 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 Jun 21, 2011.