Organization
JENA M ROY FNP LLC
Active
Other names
Basile Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JENA M ROY FNP (SOLE MEMBER/ADMINISTRATOR)
(337) 432-5552
Entity
Organization
Contact information
Practice address
2932 STAGG AVE, SUITE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Mailing address
2932 STAGG AVE, SUITE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
APPLIED FOR
LA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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