Individual
DR. NICOLE ROCHELLE NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(866) 624-7637
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
331521
LA
390200000X
Student in an Organized Health Care Education/Training Program
11020028A
IN
Other
Enumeration date
06/17/2018
Last updated
07/21/2022
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