Individual provider · NPI-1
Joni K Acclis
Nurse Practitioner, Family · Opelousas, LA
NPI number1437830858
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1437830858
- Entity type
- Individual (NPI-1)
- Name
- Joni K Acclis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F07230589 | LA | Yes |
Practice location
3983 I 49 S Service RdOpelousas, LA 70570-0758
Phone 337-678-4856 · Fax 337-594-1290
Mailing address
204 Rue EnvieCarencro, LA 70520-4030
Phone 225-341-9723
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