Provider Demographics
NPI:1891153813
Name:DUPLANTIS, AMANDA BABINEAUX (NP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:BABINEAUX
Last Name:DUPLANTIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:337-470-3560
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:811 D&E ALBERTSON PARKWAY
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518
Practice Address - Country:US
Practice Address - Phone:337-470-3560
Practice Address - Fax:337-837-2551
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP08626OtherSTATE LICENSE