Individual
MS. JONI FERGUSON NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4560 NORTH BLVD, STE 101, BATON ROUGE, LA 70806-4043
(225) 341-5901
(225) 341-5903
Mailing address
42076 HIGHWAY 933, PRAIRIEVILLE, LA 70769-6106
(225) 622-2048
(225) 319-4595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN062230AP03515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170763
—
LA
Enumeration date
07/03/2005
Last updated
12/19/2012
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