Individual
NICOLE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
Mailing address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
232394
LA
Other
Enumeration date
09/26/2023
Last updated
10/30/2023
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