Individual
NICOLE MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 645-9000
Mailing address
111 HARROW DR, SLIDELL, LA 70461-3933
(985) 290-4025
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
246052
LA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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