JONATHAN DANIEL IEYOUB (NPI# 1407823594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407823594 |
| Entity Type | Individual |
| Full Name | JONATHAN DANIEL IEYOUB |
| Credential | FNP=C |
| Practice Address |
9103 Jefferson Hwy Baton Rouge LA 70809-2440 |
| Practice Telephone | 2259271190 |
| Practice Fax Number | 2259270988 |
| Mailing Telephone | 2259271190 |
| Mailing Fax Number | 2259270988 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APO4309 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1178624 | 05 |
| Street Address |
9103 JEFFERSON HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211341 | Marie Adele Burkstaller | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2005-11-07 |
| 1750734356 | Mallori M Fletcher | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2016-07-19 |
| 1497025019 | Catherine Delord George | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2012-01-12 |
| 1669753216 | Kathryn Regan Hall Baker | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-08 |
| 1346521341 | Julie Lecompte Mcneil | Dietitian, Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-02 |
| 1568759710 | Brittany M Hall | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-07-07 |
| 1376878884 | Anesthesiology Affiliates,llc | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2009-10-16 |
| 1043472467 | Kelly Lynn Huddleston | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2008-06-26 |
| 1720262405 | Baton Rouge La Endoscopy Asc LLC | Clinic/Center | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-12-18 |
| 1689867434 | Jonathon Casey Chapman | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1740541200 | Wound Team | Nurse Practitioner | 636 Lobdell Ave, Baton Rouge, LA 70806-6318 | 2012-05-31 |
| 1598038267 | Rebecca Zeringue Hunt | Nurse Practitioner | 17912 Monitor Ave, Baton Rouge, LA 70817-2647 | 2012-02-10 |
| 1083872006 | Marguerite Mary Moffatt | Nurse Practitioner | 12875 Scenic Hwy, Baton Rouge, LA 70807-1007 | 2008-05-27 |
| 1053509596 | Margaret R Delaune | Nurse Practitioner | 3600 Florida Blvd., Baton Rouge, LA 70806 | 2007-10-10 |
| 1295860815 | Christy Cook Perry | Nurse Practitioner | 4045 North Blvd Ste B, Baton Rouge, LA 70806-3830 | 2007-02-22 |
| 1184617623 | Joyce Catherine Mire | Nurse Practitioner | 8585 Picardy Ave Ste 114, Hmg- Baton Rouge General, Baton Rouge, LA 70809-3679 | 2005-08-30 |
| 1770580060 | Kirby Dwayne Humbles | Nurse Practitioner | 8333 Goodwood Blvd # Na, Baton Rouge, LA 70806-7744 | 2005-07-01 |
| 1396285821 | Carrie Perry | Nurse Practitioner | 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 | 2017-03-02 |
| 1740541440 | Tanisha Burrell Smith | Nurse Practitioner | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2012-05-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on JONATHAN DANIEL IEYOUB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.