Individual
MS. KENISHA VONCILLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5825 MAGAZINE ST, NEW ORLEANS, LA 70115-3218
(504) 583-3230
(763) 402-7649
Mailing address
2117 VETERANS MEMORIAL BLVD # 201, METAIRIE, LA 70002-6321
(504) 610-5194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
816281
NV
207Q00000X
Family Medicine Physician
95009368
CA
208D00000X
General Practice Physician
816281
NV
208D00000X
General Practice Physician
95009368
CA
363L00000X
Nurse Practitioner
NP95009368
CA
363LF0000X
Family Nurse Practitioner
Primary
215783
LA
363LF0000X
Family Nurse Practitioner
4704439077
MI
363LF0000X
Family Nurse Practitioner
816281
NV
363LF0000X
Family Nurse Practitioner
AP215783
LA
363LP2300X
Primary Care Nurse Practitioner
816281
NV
363LX0106X
Occupational Health Nurse Practitioner
816281
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609359165
—
CA
Enumeration date
09/11/2018
Last updated
01/29/2026
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