DANIELLE JACKSON THREATTS

LAFAYETTE, LA
NPI1033465778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP07019)
Enumeration Date2012-07-31
Last Update Date2020-05-01
Business Address
DANIELLE JACKSON THREATTS
105 INDEPENDENCE BLVD STE 1
LAFAYETTE, LA 70506-8710
Phone number: 337-534-4087
Mailing Address
DANIELLE JACKSON THREATTS
405 N PARKERSON ST
RAYNE, LA 70578-6544
Phone number: 337-534-4087
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