Most Relevant Information
Provider Data
| NPI Number: | 1003276064 |
| Provider Name: | MANDY GAYLE KEOWN FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP08728 |
Most Important Dates
| Enumeration Date: | 03/02/2016 |
| Last Updated: | 08/14/2024 |
Provider Practice Location
10310 THE GROVE BLVD
BATON ROUGE
LA
708366455
Practice Location Phone/Fax
| Phone: | 2257615200 |
| Fax: |
Provider Mailing Location
1514 JEFFERSON HWY
NEW ORLEANS
LA
701212429
Provider Mailing Phone/Fax
| Phone: | 5048424000 |
| Fax: |