Organization
GERALD L NICKERSON JR MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD L NICKERSON JR. MD (OWNER)
(337) 234-1700
Entity
Organization
Contact information
Practice address
501 W SAINT MARY BLVD, STE 100, LAFAYETTE, LA 70506-4600
(337) 234-1700
(337) 234-7500
Mailing address
PO BOX 83188, BATON ROUGE, LA 70884-3188
(337) 234-1700
(337) 234-7500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
09/11/2025
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