| Doctor Name: | NICOLETTE HUMPHRIES |
| NPI Number: | 1891938239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 204992 |
| Business Practice Address: | 2518 Bert Kouns Ind. Loop Shreveport, LA - 711183112 |
| Business Phone Number: | 3182125437 |
| Business Fax Number: | 3182125825 |
| Mailing Address: | 2518 Bert Kouns Ind. Loop, SHREVEPORT |
| State: | LA |
| Postal Code: | 711183112 |
| Phone Number: | 3182125437 |
| Fax Number: | 3182125825 |
| NPI Enumeration Date: | 04/15/2009 |
| NPI Last Update Date: | 08/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 204992 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |