Healthcare Provider Details

I. General information

NPI: 1821964693
Provider Name (Legal Business Name): CONNECTIFY HEALTHLINK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 LOWER ZACHARY RD
ZACHARY LA
70791-5328
US

IV. Provider business mailing address

1765 ONEAL LN # 109
BATON ROUGE LA
70816-1633
US

V. Phone/Fax

Practice location:
  • Phone: 225-937-7491
  • Fax:
Mailing address:
  • Phone: 225-308-1386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ANTIQUA NICOLE SMART
Title or Position: OWNER/NURSE PRACTITIONER
Credential: APRN, FNP, PMHNP
Phone: 225-937-7491