Healthcare Provider Details

I. General information

NPI: 1962398974
Provider Name (Legal Business Name): TRENICE BRUCE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD
METAIRIE LA
70006-2970
US

IV. Provider business mailing address

4200 HOUMA BLVD
METAIRIE LA
70006-2970
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4000
  • Fax:
Mailing address:
  • Phone: 504-503-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number241628
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number241628
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: