Quianne Shortt Aguillard, FNP-C
Nurse Practitioner, Family in Jefferson, LA. Individual provider (NPI-1).
NPI number1306367586
StatusActive
Last updated in NPPESAug 18, 2018
Details
- NPI
- 1306367586
- Entity type
- Individual (NPI-1)
- Name
- Quianne Shortt Aguillard
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2017
- Last updated
- Aug 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP09400 | LA | Yes |
Practice location
2614 Jefferson Hwy Fl 2Jefferson, LA 70121
Phone 504-314-4242
Mailing address
2111 Mediamolle DrNew Orleans, LA 70114-3435
Phone 504-638-8616
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