Provider Demographics
NPI:1245190339
Name:TRANQUILITY PRIMARY AND IMMEDIATE CARE
Entity type:Organization
Organization Name:TRANQUILITY PRIMARY AND IMMEDIATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP-C
Authorized Official - Prefix:MRS
Authorized Official - First Name:QUIANA
Authorized Official - Middle Name:SADE
Authorized Official - Last Name:NICKELBERRY ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:504-223-4848
Mailing Address - Street 1:9562 RAINTREE LN
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-3184
Mailing Address - Country:US
Mailing Address - Phone:504-223-4848
Mailing Address - Fax:
Practice Address - Street 1:1 GALLERIA BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2082
Practice Address - Country:US
Practice Address - Phone:504-223-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty