Provider Demographics
NPI:1619255171
Name:HEBERT, DONNA G (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:G
Last Name:HEBERT
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15705 CHANOVE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWELL SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70739-3825
Mailing Address - Country:US
Mailing Address - Phone:225-358-2206
Mailing Address - Fax:225-358-1076
Practice Address - Street 1:500 RUE DE LA VIE
Practice Address - Street 2:SUITE 413
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-215-7960
Practice Address - Fax:225-922-3382
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06100363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health