Individual provider · Type 1 NPI

Kelly Thibodeaux, NP

Family Nurse Practitioner · Terrytown, LA

NPI number 1639552979 Active

Practice location

2600 Belle Chasse Hwy # B2
Terrytown, LA 70056-7156

Mailing address

PO Box 211699
Eagan, MN 55121-3699

Other practice locations

  • PO Box 211699, Eagan, MN 55121-3699 · (866) 849-0692

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1245764 (TX)
Family Nurse Practitioner 363LF0000XARNP.AP.70074452-NP (WA)
Family Nurse Practitioner 363LF0000XC-APN.0105559-C-NP (CO)
Family Nurse Practitioner 363LF0000X336870 (AZ)
Family Nurse Practitioner 363LF0000X0024197801 (VA)
Family Nurse Practitioner Primary 363LF0000XAP08412 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1639552979

Kelly Thibodeaux, NP's National Provider Identifier is 1639552979, issued on Jul 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Terrytown, LA. The record was last updated on Oct 28, 2026.