Individual
NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
(225) 646-5696
Mailing address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
(225) 646-5696
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP06811
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02675714
—
MS
05
—
2305191
—
LA
Enumeration date
06/14/2012
Last updated
08/19/2014
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