Doctor Name: | MRS. DEBORAH JEANNE DEJEAN-EATON |
NPI Number: | 1629114889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | RN033780 |
Business Practice Address: | 1313 Ringgold Ave. Coushatta, LA - 71019 |
Business Phone Number: | 3189324029 |
Business Fax Number: | 3189325914 |
Mailing Address: | Po Box 1016, COUSHATTA |
State: | LA |
Postal Code: | 710191016 |
Phone Number: | 3189324029 |
Fax Number: | 3189325914 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN033780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |