Provider Demographics
NPI:1801382577
Name:GUILLORY, KRISTEN DUPLECHIN
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DUPLECHIN
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 LEON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3938
Mailing Address - Country:US
Mailing Address - Phone:337-457-8166
Mailing Address - Fax:888-371-3069
Practice Address - Street 1:151 LEON AVE STE B
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3938
Practice Address - Country:US
Practice Address - Phone:337-457-8166
Practice Address - Fax:888-371-3069
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10009363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health