Provider Demographics
NPI:1740435338
Name:GAUDIN, JAMIE ALLISON (MSN, APRN, ACNP-BC)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:ALLISON
Last Name:GAUDIN
Suffix:
Gender:F
Credentials:MSN, APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 SILVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4160
Mailing Address - Country:US
Mailing Address - Phone:225-765-6497
Mailing Address - Fax:
Practice Address - Street 1:2041 SILVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4160
Practice Address - Country:US
Practice Address - Phone:225-765-6497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA99761-5557363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care