Individual
KELLY NUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, PMHNP
Contact information
Practice address
3616 S I 10 SERVICE RD W STE 100, METAIRIE, LA 70001-1884
(504) 846-6901
(504) 838-5706
Mailing address
3616 S I 10 SERVICE RD W STE 100, METAIRIE, LA 70001-1884
(504) 846-6901
(504) 838-5706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
208427
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
208427
LA
Other
Enumeration date
01/07/2020
Last updated
05/18/2023
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