DIVINITY HEALTHCARE CLINIC is a family nurse practitioner in Baton Rouge, LA. DIVINITY HEALTHCARE CLINIC NPI is 1326676792. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4021 WE HECK CT STE B1
BATON ROUGE, LA
ZIP 70816-405
Phone: (225) 256-7945
Fax: (225) 351-8910
The provider's authorized official is Dawn Melancon .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (225) 301-2982.
The CLIA number assigned to this NPI record is 19D2182938 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/31/2020 and was last updated on 5/5/2020.