Individual
NICOLE LEE PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 871-5819
Mailing address
115 NORTHLAKE DR, MANDEVILLE, LA 70448-4572
(504) 430-6433
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP03868
LA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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