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Individual

JILL L BUECHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1014 W TUNNEL BLVD, HOUMA, LA 70360-4050
(985) 851-1717
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 355-2333

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
215257
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
215257
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1J6516
MEDICARE
LA
05
2538799
LA
Enumeration date
09/11/2020
Last updated
06/20/2022
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