Provider Demographics
NPI:1659083970
Name:DUPLANTIS, CARRILYN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CARRILYN
Middle Name:
Last Name:DUPLANTIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20324 WILL RESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-8452
Mailing Address - Country:US
Mailing Address - Phone:985-335-7169
Mailing Address - Fax:
Practice Address - Street 1:20324 WILL RESTER RD
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-8452
Practice Address - Country:US
Practice Address - Phone:985-335-7169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF12220439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily