Provider Demographics
NPI:1952138414
Name:VILLAGE HEALTH
Entity type:Organization
Organization Name:VILLAGE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:CHRISTY
Authorized Official - Last Name:HONORE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-BC, NEA-BC
Authorized Official - Phone:225-964-5332
Mailing Address - Street 1:4085 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3858
Mailing Address - Country:US
Mailing Address - Phone:225-964-5332
Mailing Address - Fax:225-465-5651
Practice Address - Street 1:4085 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3858
Practice Address - Country:US
Practice Address - Phone:225-964-5332
Practice Address - Fax:225-465-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty