Individual provider · Type 1 NPI

Ashlan Nicole Derouen

Medical Physician Assistant · Baton Rouge, LA

NPI number 1851204663 Active

Practice location

8300 Constantin Blvd
Baton Rouge, LA 70809-3489

Call (225) 374-4325 Map

Mailing address

123 Austin Rd
Youngsville, LA 70592-6307

Other practice locations

  • 4940 Eastern Ave, Baltimore, MD 21224-2735 · (410) 550-0100

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X354911 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1851204663

Ashlan Nicole Derouen's National Provider Identifier is 1851204663, issued on Sep 23, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 19, 2026.