Healthcare Provider Details

I. General information

NPI: 1073424891
Provider Name (Legal Business Name): LYNDA NUCCIO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2451
US

IV. Provider business mailing address

40 EAGLE HEIGHTS DR
PICAYUNE MS
39466-7702
US

V. Phone/Fax

Practice location:
  • Phone: 504-835-5411
  • Fax:
Mailing address:
  • Phone: 225-572-6351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number245533
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: