Individual
DINIKA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CHEVY LN STE C, BUNKIE, LA 71322-1561
(318) 346-6542
(318) 346-6543
Mailing address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
(318) 730-2115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544761
—
LA
01
—
1679507412
GROUP NPI
LA
Enumeration date
04/04/2023
Last updated
07/11/2025
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