Individual
NANCI W PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1702 A HWY 11 NORTH, PICAYUNE, MS 39466-0419
(601) 799-3130
(601) 799-3132
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
619442
MS
363LF0000X
Family Nurse Practitioner
R619442
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117683
—
MS
05
—
1001384
—
LA
01
—
1053544155
GOUP: LIGHTHOUSE HEALTHCARE NANCI PARISH LLC
MS
01
—
264793184
TAXONOMY
MS
01
—
640507572VW
AMERICAN ADMIN GROUP
MS
Enumeration date
08/27/2006
Last updated
05/13/2021
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