Organization
ESSENTIAL WELLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERELLE SION PICKNEY FNP-BC (CEO)
(225) 341-2791
Entity
Organization
Contact information
Practice address
3419 NW EVANGELINE TRWY STE D3, CARENCRO, LA 70520-6241
(225) 341-2791
Mailing address
PO BOX 1057, CARENCRO, LA 70520-1057
(337) 565-9320
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
02/19/2023
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