Aslyn Nicole George, RN

Individual provider Active NPI Registered Nurse · Jackson, LA

NPI 1972143196 · NPPES record last updated Jan 15, 2020

Key facts

NPI
1972143196
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN131077 (LA)
Practice address
3501 Highway 10
Jackson, LA 70748-6238
Phone
(225) 683-1360
Fax
(225) 683-1310
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN131077LAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN131077 LA Yes

Addresses

Primary practice location

3501 Highway 10
Jackson, LA 70748-6238

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other identifiers

IdentifierTypeStateIssuer
RN131077OtherLARN LICENSE

Other providers in Jackson, LA

All providers in Jackson, LA · Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.