Provider Demographics
NPI:1528409612
Name:THORNHILL, ALISON LEIGH (NP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LEIGH
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 S COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-7915
Mailing Address - Country:US
Mailing Address - Phone:985-730-7310
Mailing Address - Fax:857-307-3919
Practice Address - Street 1:2807 S COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-7915
Practice Address - Country:US
Practice Address - Phone:985-730-7310
Practice Address - Fax:857-307-3919
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07430363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily