Individual
MS. ALISHA NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5200
Mailing address
4407 WIMBISH DR, BAKER, LA 70714-2449
(225) 614-1293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119881
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08265
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04088062
—
MS
05
—
2408666
—
LA
Enumeration date
12/17/2009
Last updated
04/06/2016
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