Boudreaux, Jayme L
Boudreaux, Jayme L is an individual health care provider with primary practice located at 1200 Avenue G , Marrero LA 70072-3765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boudreaux, Jayme L can be contacted via phone (504) 349-6713.Contact Information
Primary practice address
1200 Avenue G
Marrero LA 70072-3765
Phone: (504) 349-6713
Fax: (504) 349-3733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP06893 | Louisiana |
Profile Details
| NPI number | 1598010589 |
|---|---|
| LBN Legal business name | Boudreaux, Jayme L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Dec 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598010589 | NPPES |
| Louisiana | MEDICAID | 2305026 |
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