Organization
THE CLINIC NOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BAQUET APRN (OWNER)
(504) 399-0364
Entity
Organization
Contact information
Practice address
1534 ALINE ST, NEW ORLEANS, LA 70115-3512
(504) 399-0364
Mailing address
1534 ALINE ST, NEW ORLEANS, LA 70115-3512
(504) 399-0364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/16/2026
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