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ALEXIS BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP211435
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1B3428
MEDICARE
LA
05
2520644
LA
Enumeration date
02/18/2020
Last updated
06/17/2022
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