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PRESTIGE PRIMARY CARE PLLC NPI 1982087987


NPI Information

NPI: 1982087987
Provider Name: PRESTIGE PRIMARY CARE PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
2851 JOHNSTON ST
LAFAYETTE, LA
ZIP 70503
Phone: (337) 281-6102
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PRESTIGE PRIMARY CARE PLLC is an adult health nurse practitioner in Lafayette, LA. PRESTIGE PRIMARY CARE PLLC NPI is 1982087987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2851 JOHNSTON ST
LAFAYETTE, LA
ZIP 70503-243
Phone: (337) 281-6102
Fax: (877) 866-3181

The provider's authorized official is Lisa Katherine Tabor .
The authorized official title is Owner and has the following contact phone number (337) 804-2049.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 7/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthAP04615LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.