| NPI | 1821964693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIQUA NICOLE SMART Owner/Nurse Practitioner 225-937-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |