Individual
MARQUITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4451 LOUISIANA HWY 1 SOUTH, STE. 5, PORT ALLEN, LA 70767
(225) 763-4852
(225) 763-4853
Mailing address
424 FERNWOOD DR, BATON ROUGE, LA 70806-3121
(225) 202-9278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
231758
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
231758
LA
363LP2300X
Primary Care Nurse Practitioner
RN149102
LA
Other
Enumeration date
06/01/2023
Last updated
04/24/2025
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