Individual
ELLISON BERNARD ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8080 MARGARET ANN AVE, BATON ROUGE, LA 70809-3444
(225) 765-8964
(225) 765-4363
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8964
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP07464
LA
363LF0000X
Family Nurse Practitioner
AP07464
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP07464
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2345176
—
LA
Enumeration date
08/02/2013
Last updated
05/15/2023
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