Provider Demographics
NPI:1326661232
Name:MILTON ISOM, JANEL (FNP-C)
Entity Type:Individual
Prefix:
First Name:JANEL
Middle Name:
Last Name:MILTON ISOM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 VETERANS BLVD.
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-2307
Mailing Address - Country:US
Mailing Address - Phone:504-305-0600
Mailing Address - Fax:
Practice Address - Street 1:2200 VETERANS BLVD.
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-2307
Practice Address - Country:US
Practice Address - Phone:504-305-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA214094363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily