Individual
MS. KALLYN JONES BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(337) 208-2361
Mailing address
201 4TH ST STE 5B, ALEXANDRIA, LA 71301-8421
(318) 767-0605
(318) 767-0086
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08444
LA
Other
Enumeration date
07/20/2015
Last updated
08/25/2023
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