Individual
NICOLE DEJEAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
220 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9474
Mailing address
116 MARK TWAIN DR, APARTMENT 1, RIVER RIDGE, LA 70123-2488
(504) 610-1490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117994
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09056
LA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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