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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY BERNARD SANDERS, APRN, PMHNP-BC

Active Sole Proprietor

JEREMY BERNARD SANDERS, APRN, PMHNP-BC is a Psychiatry healthcare provider located in LAKE CHARLES, Louisiana. NPI 1093213217 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LAKE CHARLES, LA

Registration Details

NPI Number
1093213217
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2018 (8.5289273260882 yrs)
Last Updated
Oct 29, 2019
Licenses
AP09799 (LA)
RN128743 (LA)
AP09799 (LA)
AP09799 (LA)
AP09799 (LA)
Sole Proprietor
Yes

Practice Information

Address
314 W HALE ST
LAKE CHARLES, LA, 70601
Browse LA providers · Browse ZIP 70601
Phone
3376608918
Fax
3374333013
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatric Neurology
Additional Specialty
Geriatric Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in LAKE CHARLES, LA

Name Credential NPI
DR. KASHINATH GANGADHARA YADALAM MD 1588661508
MR. BRIAN W MOONEY MD 1780685024
DR. DAVID BUTTROSS III MD 1083615421
CHARLES A MURPHY III M.D. 1760464796
DR. JAYENDRA K PATEL M.D. 1467434191
DR. DAVID MICHAEL MURDOCK M.D. 1508830316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.