Individual
NICOLE ANNA LOUIS-JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
36 ESSEX RD STE 1, IPSWICH, MA 01938-2609
(978) 356-5522
(978) 356-0218
Mailing address
PO BOX 24532, NEW YORK, NY 10087-4532
(781) 744-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
295367
MA
207Q00000X
Family Medicine Physician
311861
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
11/06/2025
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