Heather Michelle Gouner, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Clinton, LA
NPI 1700201126 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1700201126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP07705 (LA)
- Practice address
- 11990 Jackson St
Clinton, LA 70722-3210 - Phone
- (225) 683-5292
- Fax
- (225) 683-3411
- NPI assigned
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07705 | LA | Yes |
Addresses
Primary practice location
11990 Jackson St
Clinton, LA 70722-3210
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356780 | Medicaid | LA |
Other providers in Clinton, LA
- Darie S. Gilliam
- Laresha Gilmore
- Lashadra Gilmore
- Jessica Fae Golden-Cooper
- Taylor R Goudeau
- Grace Nursing Home Inc
- Traci Gremillion
- Monica S Grimes
- Kelly Elizabeth Guedry
- Stacie B. Guillory
All providers in Clinton, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.