Organization
JENA M. ROY FNP LLC
Active
Other names
Basile Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENA MILLER ROY FNP-BC (OWNER)
(337) 432-5552
Entity
Organization
Contact information
Practice address
2932 STAGG AVE, STE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Mailing address
2932 STAGG AVE, STE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP06059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116479
—
LA
Enumeration date
07/29/2011
Last updated
10/10/2011
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