Nickens, Joni Ferguson

Nickens, Joni Ferguson is an individual health care provider with primary practice located at 4560 North Blvd Ste 101, Baton Rouge LA 70806-4043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nickens, Joni Ferguson can be contacted via phone (225) 341-5901.

Contact Information

Primary practice address
4560 North Blvd Ste 101 Baton Rouge LA 70806-4043
Fax: (225) 341-5903
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN062230AP03515 Louisiana

Profile Details

NPI number 1831196096
LBN Legal business name Nickens, Joni Ferguson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2005
Last updated Dec 19th, 2012 - about 12 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 1831196096 NPPES
Louisiana MEDICAID 1170763

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