Healthcare Provider Details

I. General information

NPI: 1144065723
Provider Name (Legal Business Name): CHOSEN NURSING CONSULTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2285 NORTH ST
BATON ROUGE LA
70802-3154
US

IV. Provider business mailing address

PO BOX 64923
BATON ROUGE LA
70896-4923
US

V. Phone/Fax

Practice location:
  • Phone: 225-218-5647
  • Fax:
Mailing address:
  • Phone: 225-218-5647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACINE FIELDS
Title or Position: OWNER
Credential:
Phone: 225-218-5647