Individual
JILL P DEBOUCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2611 JACKSON BLVD, CHALMETTE, LA 70043-2959
(504) 934-8461
(504) 371-3811
Mailing address
1151 BARATARIA BLVD STE 3100, MARRERO, LA 70072-3083
(504) 934-8462
(504) 371-3811
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
AP06639
LA
207Y00000X
Otolaryngology Physician
AP06639
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06639
LA
Other
Enumeration date
01/10/2012
Last updated
03/05/2026
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