Individual
JESSICA LYNN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
211 MICHIGAN AVE, SULPHUR, LA 70663-5227
(337) 660-1356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239259
LA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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