Mary Jo Broussard in New Orleans - Nurse Practitioner
Mary Jo Broussard - NPI 1285844571
Mary Jo Broussard is a Nurse Practitioner in New Orleans, Louisiana. Mary Jo Broussard practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Jo Broussard is 1285844571. The last update date is 2007-07-08.
Mary Jo Broussard's current location address is 1541 Tulane Ave, New Orleans, Louisiana. You can contact this provider via phone number 5049031301. The mailing address for Mary Jo Broussard is 1541 Tulane Ave, New Orleans, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Broussard |
|---|---|
| Address | 1541 Tulane Ave, New Orleans, Louisiana |
| Phone Number | 5049031301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285844571 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1541 Tulane Ave |
|---|---|
| City | New Orleans |
| State | Louisiana (LA) |
| Post Code | 701122821 |
| Phone Number | 5049031301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 046359-3340 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 046359-3340 | LA | STATE BOARD NURSING |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jo Broussard by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Jo Broussard has been assigned the NPI (National Provider Identifier) 1285844571. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mary Jo Broussard is physically located?
The Mary Jo Broussard is situated at the following address: 1541 Tulane Ave, New Orleans, LA 701122821.
What is Mary Jo Broussard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jo Broussard's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285844571 to Mary Jo Broussard?
The Centers for Medicare & Medicaid Services assigned the 1285844571 to Mary Jo Broussard on 2007-05-23.
When was the information pertaining to Mary Jo Broussard most recently updated or revised?
The details related to Mary Jo Broussard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC