Healthcare Provider Details
I. General information
NPI: 1588382485
Provider Name (Legal Business Name): NEST HEALTHCARE PHYSICIAN GROUP PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2022
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2701 GENERAL PERSHING ST
NEW ORLEANS LA
70115-6225
US
IV. Provider business mailing address
2701 GENERAL PERSHING ST
NEW ORLEANS LA
70115-6225
US
V. Phone/Fax
- Phone: 504-881-1452
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
REBEKAH
GEE
Title or Position: PRESIDENT
Credential: MD
Phone: 617-504-2991