Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theleisha Nelson Antoine

Individual provider Family Nurse Practitioner · NPI 1164378469

Theleisha Nelson Antoine is a Nurse Practitioner in Broussard, Louisiana. Qualified in 2025, 1 year ago. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2026

Practice location Address checks out

104 Hershey Ct
Broussard, LA 70518-5157
Phone: (337) 255-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 245748 (LA)

Record details

NPI number1164378469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address104 Hershey Ct, Broussard, LA 70518-5157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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