Provider Demographics
NPI:1073304903
Name:VOISELLE, ERIN RENEE GORMAN (PMHNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE GORMAN
Last Name:VOISELLE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:RENEE
Other - Last Name:GORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6368 LAKE EDGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-5338
Mailing Address - Country:US
Mailing Address - Phone:832-797-6440
Mailing Address - Fax:
Practice Address - Street 1:3401 NORTH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-381-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA240199363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health