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General NPI Number Information
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NPI Number | 1245190339
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Entity Type | Organization
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Legal Business Name | TRANQUILITY PRIMARY AND IMMEDIATE CARE
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1 GALLERIA BLVD
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City | METAIRIE
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State | LA
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Zip | 70001-2082
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Country | US
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Telephone | 504-223-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 9562 RAINTREE LN
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City | WESTWEGO
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State | LA
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Zip | 70094-3184
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Country | US
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Telephone | 504-223-4848
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Fax |
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Authorized Official
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Title or Position | OWNER/FNP-C
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Name | MRS. QUIANA SADE NICKELBERRY ALEXANDER
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Credential | FNP-C
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Telephone | 504-223-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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