Individual
MS. JESSICA BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 RIVER OAKS RD W, ELMWOOD, LA 70123-2163
(504) 495-6870
Mailing address
1500 RIVER OAKS RD W, ELMWOOD, LA 70123-2163
(504) 495-6870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
01/05/2021
Last updated
04/02/2026
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