MRS. JORDAN STEIN BROUSSARD (NPI# 1215310453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215310453 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN STEIN BROUSSARD |
| Other Name | MISS JORDAN LEIGH STEIN |
| Credential | FNP-C |
| Practice Address |
3301 Old Spanish Trail Westlake LA 70669 |
| Practice Telephone | 3375324881 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
8399 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3301 OLD SPANISH TRAIL |
| City | WESTLAKE |
| State | LA |
| Zip Code | 70669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346746757 | Michael Ogea | Family Medicine | 2200 Old Spanish Trail, Westlake, LA 70669 | 2018-04-04 |
| 1518242296 | Eastman Chiropractic Clinic | Chiropractor | 902 Sampson Street, Westlake, LA 70669 | 2011-10-13 |
| 1598829269 | Paul Dean Vidrine | Dentist | 902a Shady Ln, Westlake, LA 70669 | 2006-12-20 |
| 1568592368 | Jody Robert George | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-03-07 |
| 1609191113 | Ramona Leigh Whittington | Nurse Practitioner | 2345 Sampson St, Westlake, LA 70669-2711 | 2010-03-29 |
| 1396951307 | Randall K Wagman Md Apmc | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-05-15 |
| 1467675462 | The Family Care Center of Southwest Louisiana, LLC | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-04-10 |
| 1629389101 | Vonda Flue | Occupational Therapist | 924 Live Oak St, Westlake, LA 70669-3209 | 2010-06-29 |
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| 1164924361 | Charles David Colley | Pharmacist | 1514 Sampson St # 1, Westlake, LA 70669-4632 | 2018-03-02 |
| Find all providers in zip 70669 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960433 | Emily Fusilier | Nurse Practitioner | 13406 Airline Hwy, Baton Rouge, LA 70817-5917 | 2016-09-14 |
Please comment or provide details below to improve the information on MRS. JORDAN STEIN BROUSSARD.
| 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.