Active NPI
Jnicholas FNP LLC
- Family Nurse Practitioner
- Breaux Bridge, LA
National Provider Identifier
1619548872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- JNICHOLAS FNP LLC
- Practice address
- 606 Latiolais Dr
Breaux Bridge, LA 70517-4231 - Phone
- (337) 274-2783
- NPI assigned
- Jul 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie O Nicholas, FNP
- Title
- Sole Member/Owner
- Phone
- (337) 274-2783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
606 Latiolais Dr
Breaux Bridge, LA 70517-4231
Mailing address
400 Highway 1252
Carencro, LA 70520-5360
Phone (337) 274-2783
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1619548872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HIGHWAY 1252",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705205360",
"telephone_number": "337-274-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 LATIOLAIS DR",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174231",
"telephone_number": "337-274-2783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JNICHOLAS FNP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "NICHOLAS",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "SOLE MEMBER/OWNER",
"authorized_official_telephone_number": "337-274-2783",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.