Provider Demographics
NPI:1790555472
Name:LEBLANC, JOANN JOY (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:JOY
Last Name:LEBLANC
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 1:2814 W WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SCOTT
Mailing Address - State:LA
Mailing Address - Zip Code:70583-5207
Mailing Address - Country:US
Mailing Address - Phone:337-322-6818
Mailing Address - Fax:
Practice Address - Street 1:2814 W WILLOW ST
Practice Address - Street 2:
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-5207
Practice Address - Country:US
Practice Address - Phone:337-322-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN149460163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse