Organization
ALEXIS BOURGEOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS BOURGEOIS NP (OWNER-PRESIDENT)
(337) 889-3682
Entity
Organization
Contact information
Practice address
605 S LEWIS ST, NEW IBERIA, LA 70560-4820
(337) 889-3682
(337) 806-9339
Mailing address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 889-3682
(337) 806-9339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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