Individual
CODI ROUSSELL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3333 PONTCHARTRAIN DR, SLIDELL, LA 70458-4827
(985) 768-6000
Mailing address
1381 AUDUBON PKWY, MADISONVILLE, LA 70447-3271
(985) 768-6600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234283
LA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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