Individual
KIMBERLY ANN ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
17609 OLD JEFFERSON HWY STE D, PRAIRIEVILLE, LA 70769-3980
(225) 765-5500
(225) 677-9695
Mailing address
17609 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-5242
(225) 677-9595
(225) 677-9695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089741 AP1480
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583294
—
LA
Enumeration date
07/26/2006
Last updated
12/28/2020
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