Organization
JNICHOLAS FNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE O NICHOLAS FNP (SOLE MEMBER/OWNER)
(337) 274-2783
Entity
Organization
Contact information
Practice address
606 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 274-2783
Mailing address
400 HIGHWAY 1252, CARENCRO, LA 70520-5360
(337) 274-2783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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