Healthcare Provider Details

I. General information

NPI: 1639092075
Provider Name (Legal Business Name): EMILEY PAIGE PRATT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MEDICAL DR
NATCHITOCHES LA
71457-6052
US

IV. Provider business mailing address

339 OLD CAMP RD
CONVERSE LA
71419-3294
US

V. Phone/Fax

Practice location:
  • Phone: 318-310-7950
  • Fax:
Mailing address:
  • Phone: 318-415-8246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202563
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: