Individual
NICOLE JEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(210) 325-3867
Mailing address
905 S MAIN ST, BREAUX BRIDGE, LA 70517-5305
(210) 325-3867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216295
LA
363L00000X
Nurse Practitioner
Primary
216295
LA
Other
Enumeration date
08/19/2024
Last updated
05/13/2025
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