Individual
DR. CASSIE BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC DNP
Contact information
Practice address
100 BEAUVAIS AVE STE A2, LAFAYETTE, LA 70507-2469
(318) 405-1026
(862) 298-0802
Mailing address
1441 MILLS HWY, BREAUX BRIDGE, LA 70517-7304
(318) 405-1026
(862) 298-0802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08875
LA
363LF0000X
Family Nurse Practitioner
AP128734
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP08875
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61202915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470604
—
LA
Enumeration date
09/14/2015
Last updated
03/08/2026
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