Ellison Bernard Abad, NP
Nurse Practitioner, Psych/Mental Health in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1396177283
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1396177283
- Entity type
- Individual (NPI-1)
- Name
- Ellison Bernard Abad
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2013
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP07464 | LA | Yes |
| 363L00000X | Nurse Practitioner | AP07464 | LA | |
| 363LF0000X | Nurse Practitioner, Family | AP07464 | LA |
Practice location
8080 Margaret Ann AveBaton Rouge, LA 70809-3444
Phone 225-765-8964 · Fax 225-765-4363
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 225-765-8964 · Fax 225-765-9196
Other practice locations
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Baton Rouge, LA 70808-4375
Phone 225-765-7163 · Fax 225-765-7164
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