| Collaborative Health Nola, Llc | |
|
2401 Idaho Ave Kenner LA 70062-5715 | |
| (504) 466-0222 | |
| Not Available |
| Full Name | Collaborative Health Nola, Llc |
|---|---|
| Speciality | Nursing Care |
| Location | 2401 Idaho Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Nikesha Guice Duplessis (NURSE PRACTITIONER) |
| Authorized Official Contact | 5043456217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Health Nola, Llc Po Box 295 Mandeville LA 70470-0295 Ph: (504) 345-6217 | Collaborative Health Nola, Llc 2401 Idaho Ave Kenner LA 70062-5715 Ph: (504) 466-0222 |
| NPI Number | 1871241182 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 4981091964 |
|---|---|
| Medicare Enrollment ID | O20220421000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871241182 | NPI | - | NPPES |
| Provider Name | Nikesha G Duplessis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134551831 PECOS PAC ID: 5597038570 Enrollment ID: I20170913003512 |
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