NPI 1780909036

Sandra M Peacock, APRN

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist Sulphur, LA

Practice location

Address: 423 Cypress St, Sulphur, LA 70663-4964
Phone: (337) 528-7992
Fax: (337) 528-7994

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence AP02623 (LA)

Other Clinical Nurse Specialist providers in Louisiana →

Registry record

NPI: 1780909036
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2010
Record last updated: 30 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.