Individual
MS. ANTIQUA NICOLE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1765 ONEAL LN # 109, BATON ROUGE, LA 70816-1633
(225) 308-1326
Mailing address
5811 LOWER ZACHARY RD, ZACHARY, LA 70791-5328
(225) 937-7491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05288
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP05288
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP05288
APRN
LA
Enumeration date
12/07/2007
Last updated
10/05/2025
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