MEDICARE: TAMIKA DELICIA THOMAS-MAGEE 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	AP07047	LA

General Provider Information

NPI Number	:	1871846998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMIKA DELICIA THOMAS-MAGEE FNP-C

Provider Business Mailing Address
First Line	:	4600 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4636 S CLAIBORNE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70125-5010
Country	:	US
Telephone Number	:	504-897-9200
Fax Number	:	404-494-7435

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

Provider Enumeration Date	:	10/26/2012
Last Update Date	:	09/18/2019

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