Individual
JADA BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 SOUTHFORK AVE STE 403, BATON ROUGE, LA 70816-5241
(225) 261-7143
Mailing address
9327 VILLA CROSSING DR, GREENWELL SPRINGS, LA 70739-4666
(225) 620-8005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
18585
LA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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