Individual
RICKEY RICHARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
4550 NORTH BLVD, BATON ROUGE, LA 70806-4013
(225) 926-3343
Mailing address
3916 HESSMER AVE APT 9, METAIRIE, LA 70002-3288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221473
LA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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