JULIE M BROUSSARD NNP
NPI 1467808485
Nurse Practitioner - Neonatal in Covington, LA
Active since May 09, 2016
About Julie M Broussard Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE M BROUSSARD NNP (NPI 1467808485) is an individual neonatal provider in Covington, Louisiana, licensed in Louisiana (AP03064) and active in the NPI registry since May 2016.
NPPES Registry Identity
NPI1467808485
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameJULIE M BROUSSARDCredential: NNP
Location Address95 JUDGE TANNER BLVD, NICUCovington, LA 70433-7500
Mailing Address95 Judge Tanner Blvd, NicuCovington, LA 70433-7500 · (985) 867-4361
Phone(985) 867-4361
Sole ProprietorYes
Enumeration DateMay 9, 2016
✔ NPI 1467808485 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in LA · AP03064
95 JUDGE TANNER BLVD, Covington, LA 70433
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pathology (Anatomic Pathology & Clinical Pathology)
95 JUDGE TANNER BLVD
COVINGTON, LA 70433
COVINGTON, LA 70433
Radiology (Diagnostic Radiology)
95 JUDGE TANNER BLVD
COVINGTON, LA 70433
COVINGTON, LA 70433
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467808485, enumerated as an "individual" on May 09, 2016.
The provider is located at 95 JUDGE TANNER BLVD NICU COVINGTON, LA 70433 and the phone number is (985) 867-4361.
Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.
