Healthcare Provider Details

I. General information

NPI: 1982450144
Provider Name (Legal Business Name): ALISON NIEMI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27124 HIGHWAY 42
SPRINGFIELD LA
70462
US

IV. Provider business mailing address

410 GAUDE CT
MADISONVILLE LA
70447-3809
US

V. Phone/Fax

Practice location:
  • Phone: 225-395-8022
  • Fax: 225-395-8023
Mailing address:
  • Phone: 504-329-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235001
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: