| NPI | 1578085155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD SVP Of Administrative Services 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-09-17 |