Organization
VILLAGE KIDZ WIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKKI CHRISTY HONORE' DNP, APRN-BC, FNP-BC (OWNER/DIRECTOR)
(225) 964-5332
Entity
Organization
Contact information
Practice address
4085 FLORIDA BLVD STE A, BATON ROUGE, LA 70806-3858
(225) 200-6200
(225) 465-5651
Mailing address
4085 FLORIDA BLVD STE A, BATON ROUGE, LA 70806-3858
(225) 964-5332
(225) 465-5651
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WP0200X
Pediatric Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/02/2022
Last updated
05/27/2025
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