MS. JONI FERGUSON NICKENS (NPI# 1831196096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831196096 |
| Entity Type | Individual |
| Full Name | MS. JONI FERGUSON NICKENS |
| Credential | NP |
| Practice Address |
4560 North Blvd Ste 101 Baton Rouge LA 70806-4043 |
| Mailing Address |
42076 Highway 933 Prairieville LA 70769-6106 |
| Practice Telephone | 2253415901 |
| Practice Fax Number | 2253415903 |
| Mailing Telephone | 2256222048 |
| Mailing Fax Number | 2253194595 |
| Enumeration Date | 2005-07-03 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN062230AP03515 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1170763 | 05 |
| Street Address |
4560 NORTH BLVD STE 101 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457716151 | Kristy Leigh Dibble | Nurse Practitioner | 4560 North Blvd, Suite 108, Baton Rouge, LA 70806-4043 | 2015-12-22 |
| 1912372319 | Bridget Suire | Social Worker | 4560 North Blvd, Suite 101, Baton Rouge, LA 70806-4043 | 2015-12-10 |
| 1285045633 | Karen Weston | Pharmacist | 4560 North Blvd, Ste 102, Baton Rouge, LA 70806-4043 | 2014-05-19 |
| 1467885327 | Kendrick M. Ebanks | Social Worker | 4560 North Blvd, Suite 102 B, Baton Rouge, LA 70806-4043 | 2013-08-14 |
| 1053529727 | Michael Edward Hymbaugh | Internal Medicine | 4560 North Blvd, Ste 101, Baton Rouge, LA 70806-4043 | 2007-05-18 |
| 1336364652 | Irby Dupont | Optometrist | 4560 North Blvd, Baton Rouge, LA 70806-4043 | 2007-04-13 |
| 1760503924 | Yolanda Alexander Dunbar-johnson | Social Worker | 4560 North Blvd, Suite 104, Baton Rouge, LA 70806-4043 | 2007-04-03 |
| 1053452912 | Diabetes Express Supply Co | Durable Medical Equipment & Medical Supplies | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2007-02-12 |
| 1982754289 | Advanced Comprehensive Testing Inc | Clinical Nurse Specialist | 4560 North Blvd, Suite 115, Baton Rouge, LA 70806-4043 | 2007-01-11 |
| 1326122987 | Louisiana Express Pharmacy | Pharmacy | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1881211803 | Shelita Banks | Nurse Practitioner | 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 | 2020-06-26 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on MS. JONI FERGUSON 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.