MEDICARE: KALI NICHOLSON SCHEXNAYDER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	223911	LA

General Provider Information

NPI Number	:	1710632526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALI NICHOLSON SCHEXNAYDER FNP-C

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	13489 HIGHWAY 431 STE A
Second Line	:
City	:	SAINT AMANT
State	:	LA
Zip	:	70774-3213
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-644-2280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	12/18/2024

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