Provider Demographics
NPI:1053898403
Name:DUPLECHAIN, HEATHER SPALLINO (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:SPALLINO
Last Name:DUPLECHAIN
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-0205
Mailing Address - Country:US
Mailing Address - Phone:337-480-7792
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 205
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70527-0205
Practice Address - Country:US
Practice Address - Phone:337-480-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10161363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health