Individual
KEISHANDRA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1005 STARR CT, SLIDELL, LA 70461-4849
(504) 606-0367
Mailing address
PO BOX 233, SLIDELL, LA 70459-0233
(504) 606-0367
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229760
LA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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