Individual
THELEISHA NELSON ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 HERSHEY CT, BROUSSARD, LA 70518-5157
(337) 255-4445
Mailing address
104 HERSHEY CT, BROUSSARD, LA 70518-5157
(337) 255-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
245748
LA
363LF0000X
Family Nurse Practitioner
Primary
245748
LA
Other
Enumeration date
03/09/2026
Last updated
03/26/2026
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