Provider Demographics
NPI:1740473891
Name:PRESTON, IONE HARVEY (APRN, ANP-BC)
Entity type:Individual
Prefix:MS
First Name:IONE
Middle Name:HARVEY
Last Name:PRESTON
Suffix:
Gender:F
Credentials:APRN, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 BRETT DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7213
Mailing Address - Country:US
Mailing Address - Phone:504-975-9040
Mailing Address - Fax:
Practice Address - Street 1:323 BRETT DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7213
Practice Address - Country:US
Practice Address - Phone:504-975-9040
Practice Address - Fax:504-975-9040
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03931363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1774545Medicaid