Healthcare Provider Details

I. General information

NPI: 1215848197
Provider Name (Legal Business Name): MISS COURTENEY NGUYEN TRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 ORLEANS AVE
NEW ORLEANS LA
70119-3916
US

IV. Provider business mailing address

5 TUNICA CT
HARVEY LA
70058-6145
US

V. Phone/Fax

Practice location:
  • Phone: 877-868-5351
  • Fax: 877-900-5078
Mailing address:
  • Phone: 504-300-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number248820
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: