Individual
MRS. NICOLE H DOUCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 S 5TH ST, IOTA, LA 70543-6044
(337) 779-6000
(337) 779-2027
Mailing address
119 S 5TH ST, IOTA, LA 70543
(337) 779-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04113
LA
363LW0102X
Women's Health Nurse Practitioner
AP04113
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142701
—
LA
Enumeration date
07/06/2005
Last updated
03/11/2021
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