Provider Demographics
NPI:1649787227
Name:NORRIS, ALLE DUVALL (FNP)
Entity type:Individual
Prefix:
First Name:ALLE
Middle Name:DUVALL
Last Name:NORRIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALLE
Other - Middle Name:
Other - Last Name:DUVALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-526-0011
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:70411 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8243
Practice Address - Country:US
Practice Address - Phone:985-400-5566
Practice Address - Fax:985-400-5560
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09677363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care