Most Relevant Information
Provider Data
| NPI Number: | 1003555624 |
| Provider Name: | JACOB DWAYNE LABATUT |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN154204 |
Most Important Dates
| Enumeration Date: | 06/01/2022 |
| Last Updated: | 05/28/2024 |
Provider Practice Location
8585 PICARDY AVE STE 110
BATON ROUGE
LA
708093749
Practice Location Phone/Fax
| Phone: | 2257670822 |
| Fax: | 2257695424 |
Provider Mailing Location
39438 HIGHWAY 929
PRAIRIEVILLE
LA
707694927
Provider Mailing Phone/Fax
| Phone: | 2253233999 |
| Fax: |