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Organization

COLLABORATIVE HEALTH NOLA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKESHA GUICE DUPLESSIS (NURSE PRACTITIONER)
(504) 345-6217
Entity
Organization

Contact information

Practice address
2401 IDAHO AVE, KENNER, LA 70062-5715
(504) 466-0222
Mailing address
PO BOX 295, MANDEVILLE, LA 70470-0295
(504) 345-6217

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
261QH0100X
Health Service Clinic/Center
261QP2300X
Primary Care Clinic/Center
310400000X
Assisted Living Facility

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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