Provider Demographics
NPI: | 1063024198 |
---|---|
Name: | PARKER, LEAH HAMILTON (NP) |
Entity type: | Individual |
Prefix: | |
First Name: | LEAH |
Middle Name: | HAMILTON |
Last Name: | PARKER |
Suffix: | |
Gender: | |
Credentials: | NP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 3941 HOUMA BLVD STE 2B |
Mailing Address - Street 2: | |
Mailing Address - City: | METAIRIE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70006-2920 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-456-9199 |
Mailing Address - Fax: | 504-456-9602 |
Practice Address - Street 1: | 3941 HOUMA BLVD STE 2B |
Practice Address - Street 2: | |
Practice Address - City: | METAIRIE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70006-2920 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-456-9199 |
Practice Address - Fax: | 504-456-9602 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2020-08-19 |
Last Update Date: | 2025-05-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 1180219 | 363LF0000X |
NV | 881827 | 363LF0000X |
MS | 906931 | 363LF0000X |
TN | 37472 | 363LF0000X |
KY | 4027200 | 363LF0000X |
CO | C-APN.0103587-C-NP | 363LF0000X |
AZ | 315319 | 363LF0000X |
NM | 80712 | 363LF0000X |
AL | 3-002237 | 363LF0000X |
LA | 215194 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |