MS. JONI FERGUSON NICKENS NP NPI 1831196096

NPI Information

MS. Joni Ferguson Nickens, NP is a family nurse practitioner in Baton Rouge, LA. MS. Joni Ferguson Nickens, NP NPI is 1831196096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4560 NORTH BLVD
STE 101
BATON ROUGE, LA
ZIP 70806-043
Phone: (225) 341-5901
Fax: (225) 341-5903

The NPI 1831196096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2005 and was last updated on 12/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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