Individual
NIKITA PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 AVENUE G, KENTWOOD, LA 70444-2601
(888) 414-7247
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(888) 414-7247
(225) 658-1282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07896
LA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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