Provider Demographics
NPI:1992823272
Name:GAY, JAMES PAUL (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PAUL
Last Name:GAY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:PAUL
Other - Last Name:GAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN NP PSYCH
Mailing Address - Street 1:2125 BASILE EUNICE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BASILE
Mailing Address - State:LA
Mailing Address - Zip Code:70515-0000
Mailing Address - Country:US
Mailing Address - Phone:337-329-5060
Mailing Address - Fax:
Practice Address - Street 1:302 W MCNEESE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5604
Practice Address - Country:US
Practice Address - Phone:337-310-0153
Practice Address - Fax:318-253-7299
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05189363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health