Organization · Type 2 NPI

Health and Rejuvenate Spa and Clinic, LLC

Nurse Practitioner · Monroe, LA

NPI number 1972466795 Active

Practice location

104 Northpark Drive
Monroe, LA 71201

Fax (866) 728-6481

Mailing address

340 Sibley Rd
Choudrant, LA 71227-3914

Other practice locations

  • 340 Sibley Rd, Choudrant, LA 71227-3914 · (318) 355-2435

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972466795

Health and Rejuvenate Spa and Clinic, LLC's National Provider Identifier is 1972466795, issued on Dec 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Monroe, LA. The record was last updated on Dec 8, 2025.