ETERNITY HEALTH CARE CLINIC, LLC
NPI 1548206436
Clinical Nurse Specialist - Adult Health in Lake Charles, LA

Active since June 21, 2006
1432 FOURNET ST, LAKE CHARLES, LA 70601(337) 439-4220(337) 439-6351 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eternity Health Care Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETERNITY HEALTH CARE CLINIC, LLC (NPI 1548206436) is a healthcare organization registered as an adult health in Lake Charles, Louisiana and active in the NPI registry since June 2006. The organization lists Nona Marie Leday Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1548206436
Entity TypeOrganization
Primary Taxonomy364SA2200X
Legal Business NameETERNITY HEALTH CARE CLINIC, LLC
Location Address1432 FOURNET STLake Charles, LA 70601-2452
Mailing AddressPo Box 1962Lake Charles, LA 70602-1962 · (337) 439-4220 · Fax (337) 439-6351
Fax(337) 439-6351
Organization SubpartNo
Authorized OfficialNona Marie Leday BryantOwner · (337) 439-4220
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1548206436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in LA · RN050908 AP03651
1432 FOURNET ST, Lake Charles, LA 70601

Other Identifiers 1

Medicaid1106798LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Adult Health)
1432 FOURNET ST
LAKE CHARLES, LA 70601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eternity Health Care Clinic, LLC's NPI number?

The NPI number for Eternity Health Care Clinic, LLC is 1548206436. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Eternity Health Care Clinic, LLC located?

Eternity Health Care Clinic, LLC is located at 1432 Fournet St, Lake Charles, LA 70601. The listed phone number is (337) 439-4220.

What is Eternity Health Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Eternity Health Care Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.