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Contact Information

JANCI B DETWILER, CPNP-PC/AC
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA70508-6917
 Phone: 337-470-2017
 Fax: 337-470-2809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JANCI B DETWILER · (Female)

NPI # 1144673344
Status Active
Credentials CPNP-PC/AC
Entity Individual
Enumeration date 07/22/2016
Last updated 03/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # AP08962
  • LA Other AP08962 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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