JESSICA LA GRECO BROUSSE (NPI# 1164790937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164790937 |
| Entity Type | Individual |
| Full Name | JESSICA LA GRECO BROUSSE |
| Credential | A.P.R.N., F.N.P.-C. |
| Practice Address |
1520 Gause Blvd Slidell LA 70458-2208 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 9856460945 |
| Practice Fax Number | 9856438510 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06669 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1819417 | 05 | |
| LA | RAILROAD MEDICARE PTAN | P01030618 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374620 | Jessica Lynn Brousse | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2019-03-04 |
| Street Address |
1520 GAUSE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617237 | M A Culasso, LLC | Family Medicine | 1520 Gause Blvd, Slidell, LA 70458-2208 | 2005-05-23 |
| 1821457987 | Wendy Ann Navarro | Nurse Practitioner | 1520 Gause Blvd, Slidell, LA 70458-2208 | 2016-02-17 |
| 1740624139 | Lmchh PCp LLC | Family Medicine | 1520 Gause Blvd, Slidell, LA 70458-2208 | 2013-04-29 |
| 1497928592 | Sheri Clunan | Nurse Practitioner | 1520 Gause Blvd, Slidell, LA 70458 | 2008-04-09 |
| 1215920855 | John Jude Kruse | Neurological Surgery | 1520 Gause Blvd, Slidell, LA 70458-2208 | 2005-08-30 |
| 1255334314 | Miguel A Culasso | Emergency Medicine | 1520 Gause Blvd, Slidell, LA 70458 | 2005-05-23 |
| 1790788842 | Lawrence James Mcmanus | Family Medicine | 1520 Gause Blvd, Slidell, LA 70458 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770118374 | Jourdan Pellegrini | Nurse Practitioner | 114 Annette Dr, Slidell, LA 70458-6016 | 2020-03-04 |
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1538703202 | Damita Veleka Carter-holmes | Nurse Practitioner | 1341 Denmark Ct, Slidell, LA 70461-4562 | 2019-11-05 |
| 1992350581 | Sharlana Wilson | Nurse Practitioner | 1218 Kings Row, Slidell, LA 70461-4434 | 2019-08-09 |
| 1699257428 | Healthcare In Harmony, LLC | Nurse Practitioner | 106 Autumn Lakes Cv, Slidell, LA 70461-5153 | 2018-08-29 |
| 1205333622 | Rebecca Bullard Ezell | Nurse Practitioner | 1850 Gause Blvd E Ste 101, Slidell, LA 70461-5454 | 2018-04-11 |
| 1275044331 | Dana R E Brown | Nurse Practitioner | 205a Sunset Dr, Slidell, LA 70460-6911 | 2017-10-17 |
| 1689105009 | Nerissa Christian | Nurse Practitioner | 206 Portsmouth Dr, Slidell, LA 70460-8433 | 2017-03-27 |
| 1851842843 | Shannon Regina Jackson | Nurse Practitioner | 294 Cypress Lakes Dr., Slidell, LA 70458 | 2016-10-14 |
| 1619337318 | Jamie Estes | Nurse Practitioner | 1835 Admiral Nelson Dr, Slidell, LA 70461-4512 | 2016-02-24 |
| Find all providers in SLIDELL | ||||
Please comment or provide details below to improve the information on JESSICA LA GRECO BROUSSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.