JENNIFER NICKENS (NPI# 1003225376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003225376 |
| Entity Type | Individual |
| Full Name | JENNIFER NICKENS |
| Credential | FNP-C |
| Practice Address |
17122 Airline Hwy Prairieville LA 70769-3402 |
| Mailing Address |
17124 General Pickett Ave Baton Rouge LA 70817-3761 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2016-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 131790 | LA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08144 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17122 AIRLINE HWY |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629251186 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 17122 Airline Hwy, Prairieville, LA 70769 | 2007-12-07 |
| 1467702035 | Kathryn Alexander | Pharmacist | 17122 Airline Hwy, Prairieville, LA 70769-3402 | 2012-09-11 |
| 1912280793 | Kendal Marie Sigur | Pharmacist | 17122 Airline Hwy, Prairieville, LA 70769-3402 | 2011-09-27 |
| 1528341542 | Krista Leigh Schexnailder | Pharmacist | 17122 Airline Hwy, Prairieville, LA 70769-3402 | 2011-09-26 |
| 1528341922 | Cvs Pharmacy | Pharmacist | 17122 Airline Hwy, Prairieville, LA 70769-3402 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700434 | James Daniel Hendrick | Nurse Practitioner | 16158 Airline Hwy Ste 103, Prairieville, LA 70769-4212 | 2017-06-22 |
| 1689025413 | Brittany Carrere Hortin | Nurse Practitioner | 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769-3980 | 2016-06-22 |
| 1871990614 | B. D. Bertrand & Associates LLC | Nurse Practitioner | 18069 Timberview Dr, Prairieville, LA 70769-3379 | 2014-11-21 |
| 1013313774 | Premier Health & Wellness Group, LLC | Nurse Practitioner | 17188 Airline Hwy Ste D, Prairieville, LA 70769-3443 | 2014-11-07 |
| 1114367190 | Daniel Jude Schnebelen | Nurse Practitioner | 14350 La Highway 73, Prairieville, LA 70769-3617 | 2013-07-05 |
| 1770870958 | Billy Wayne Daigle | Nurse Practitioner | 38198 Willow Lake East Ave, Prairieville, LA 70769-4176 | 2011-07-07 |
| 1568616654 | Kristin King Martin | Nurse Practitioner | 17505 Jefferson Hwy, Prairieville, LA 70769-3930 | 2008-11-17 |
| 1609974682 | Melody Yarborough | Nurse Practitioner | 17534 Old Jefferson Hwy, Suite B2, Prairieville, LA 70769-3978 | 2006-09-21 |
| 1205451556 | Lauren O Landry | Nurse Practitioner | 17581 Old Jefferson Hwy, Prairieville, LA 70769-3930 | 2020-06-12 |
| 1164961751 | Jamie Brignac Lobell | Nurse Practitioner | 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769-3980 | 2017-02-16 |
| Find all providers in PRAIRIEVILLE | ||||
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on JENNIFER NICKENS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.