Individual
MALAINA PICKERING SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1054 SW RAILROAD AVE, PONCHATOULA, LA 70454-3557
(985) 401-9711
Mailing address
13 AMAR DR, HAMMOND, LA 70401-1003
(985) 351-0450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227285
LA
363LF0000X
Family Nurse Practitioner
227285
LA
Other
Enumeration date
09/06/2022
Last updated
01/22/2024
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