Danielle Jackson Threatts
Nurse Practitioner - Psychiatric/Mental Health
105 Independence Blvd Ste 1
Lafayette
, Louisiana 70506-8710
Danielle Jackson Threatts
Nurse Practitioner - Psychiatric/Mental Health
105 Independence Blvd Ste 1
Lafayette
, Louisiana 70506-8710
(337) 534-4087
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Danielle Jackson Threatts
- 405 N Parkerson St
- Rayne, LA
- Zip : 70578-6544
- Phone : (337) 534-4087
Second Address
- Danielle Jackson Threatts
- 105 Independence Blvd Ste 1
- Lafayette, LA
- Zip : 70506-8710
- Phone : (337) 534-4087
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP07019 | LA |
National Provider Identifier
| NPI | 1033465778 |
|---|---|
| Provider Name | Danielle Jackson Threatts |
| First Address | Rayne, LA 70578-6544 |
| Second Address | Lafayette, LA 70506-8710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2012 |
| Last Update Date | 01/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.