Individual
MS. NICOLE R. HUTSON SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
15756 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 318-6599
(985) 318-1386
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04664
LA
363LP0200X
Pediatric Nurse Practitioner
R887980
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06179048
—
MS
05
—
1722961
—
LA
Enumeration date
03/27/2007
Last updated
11/16/2024
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