Individual
ANISSA NICOLE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1765 ONEAL LN, BATON ROUGE, LA 70816-1633
(225) 605-3103
Mailing address
1765 ONEAL LN, BATON ROUGE, LA 70816-1633
(985) 215-2419
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229214
LA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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