Individual provider · Type 1 NPI

Brandy R. Peacock, NP

Family Nurse Practitioner · Lafayette, LA

NPI number 1912130683 Active

Practice location

200 Corporate Blvd, Suite 201
Lafayette, LA 70508-3870

Mailing address

9107 Redwing Ct
Shreveport, LA 71115-3605

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN085735-AP0589 (LA)
Family Nurse Practitioner 363LF0000XRN085735-AP05893 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1912130683

Brandy R. Peacock, NP's National Provider Identifier is 1912130683, issued on Aug 28, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, LA. The record was last updated on Apr 1, 2013.