Provider Demographics
NPI:1306502356
Name:SPILLER, ALLISON NICOLE
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:NICOLE
Last Name:SPILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1089
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-1089
Mailing Address - Country:US
Mailing Address - Phone:985-892-7070
Mailing Address - Fax:985-892-7017
Practice Address - Street 1:4720 S I 10 SERVICE RD W STE 206
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1240
Practice Address - Country:US
Practice Address - Phone:504-576-9450
Practice Address - Fax:504-381-4793
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA222277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily