Provider Demographics
NPI:1255762845
Name:JONES, NICOLE JUDICE (APRN, CNS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:JUDICE
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN, CNS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:TINA
Other - Last Name:JUDICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE 530
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-503-7003
Mailing Address - Fax:504-503-7004
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE 530
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-503-7003
Practice Address - Fax:504-503-7004
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05192364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health