Individual
COURTNEY NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 S 5TH ST, IOTA, LA 70543-6105
(337) 315-0372
Mailing address
15 BAYOU OAKS DR, CROWLEY, LA 70526-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218941
LA
Other
Enumeration date
03/18/2021
Last updated
03/26/2021
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