Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
NICHOLE ANN TAYEH DOUSSAN
Active
Individual
NICHOLE ANN TAYEH DOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200836
LA
363A00000X
Physician Assistant
Primary
PA12941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05028232
—
MS
05
—
2400134
—
LA
Enumeration date
06/30/2015
Last updated
01/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up