Coulon, Ailenne Lizet

Coulon, Ailenne Lizet is an individual health care provider with primary practice located at 3710 Paris Rd , Chalmette LA 70043-1306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Coulon, Ailenne Lizet can be contacted via phone (504) 278-6318.

Contact Information

Primary practice address
3710 Paris Rd Chalmette LA 70043-1306
Phone: (504) 278-6318
Fax: (504) 278-6317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP09890 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09890 Louisiana

Profile Details

NPI number 1013412444
LBN Legal business name Coulon, Ailenne Lizet
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated May 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013412444 NPPES
Louisiana MEDICAID 2466259

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