Healthcare Provider Details

I. General information

NPI: 1821938713
Provider Name (Legal Business Name): BROOKE NICHOLE LEMOINE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6413 HIGHWAY 182 E
MORGAN CITY LA
70380-2041
US

IV. Provider business mailing address

6413 HIGHWAY 182 E
MORGAN CITY LA
70380-2041
US

V. Phone/Fax

Practice location:
  • Phone: 985-509-8101
  • Fax:
Mailing address:
  • Phone: 985-509-8101
  • Fax: 985-509-8102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number248912
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: