Healthcare Provider Details

I. General information

NPI: 1053233643
Provider Name (Legal Business Name): NICOLE ASSING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S CARROLLTON AVE
NEW ORLEANS LA
70118-4307
US

IV. Provider business mailing address

3201 S CARROLLTON AVE
NEW ORLEANS LA
70118-4307
US

V. Phone/Fax

Practice location:
  • Phone: 504-207-3060
  • Fax:
Mailing address:
  • Phone: 504-207-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number228414
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: