Provider Demographics
NPI:1326773250
Name:HEBERT, MEAGAN DRURY (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:DRURY
Last Name:HEBERT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 COOLIDGE BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2638
Mailing Address - Country:US
Mailing Address - Phone:337-769-2531
Mailing Address - Fax:337-769-2532
Practice Address - Street 1:1211 COOLIDGE BLVD STE 404
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2638
Practice Address - Country:US
Practice Address - Phone:337-769-2531
Practice Address - Fax:337-769-2532
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA226856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA226856OtherAPRN-CNP