Organization
EL SHADDAI PSYCHIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRINE NKOUGA DNP, MSN, APRN-BC (DOCTOR OF NURSING PRACTIVE)
(225) 673-1088
Entity
Organization
Contact information
Practice address
37283 SWAMP RD STE 1001, PRAIRIEVILLE, LA 70769-3298
(225) 673-1088
(225) 673-1324
Mailing address
37283 SWAMP RD STE 1001, PRAIRIEVILLE, LA 70769-3298
(225) 673-1088
(225) 673-1324
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
06/18/2024
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