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

CCP PRIMARY CARE CENTER

Active Organization

CCP PRIMARY CARE CENTER is a Nurse Practitioner organization located in LAFAYETTE, Louisiana. NPI 1336115997 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LAFAYETTE, LA

Registration Details

NPI Number
1336115997
Provider Type
Organization
NPI Issued
Feb 24, 2006 (20.478051592787 yrs)
Last Updated
Sep 11, 2025
Licenses
022833 (LA)
AP04512 (LA)

Practice Information

Address
1101 ERASTE LANDRY RD
LAFAYETTE, LA, 705063043
Browse LA providers · Browse ZIP 70506
Phone
3372896690
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Organizations in LAFAYETTE, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.