Provider Demographics
NPI:1134551831
Name:DUPLESSIS, NIKESHA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:NIKESHA
Middle Name:
Last Name:DUPLESSIS
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:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-0295
Mailing Address - Country:US
Mailing Address - Phone:504-345-6217
Mailing Address - Fax:
Practice Address - Street 1:291 LIBRA AVE
Practice Address - Street 2:UNIT A
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-2858
Practice Address - Country:US
Practice Address - Phone:504-345-6217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07427363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily