Bourgeois, Jeanette M

Bourgeois, Jeanette M is an individual health care provider with primary practice located at 539 E Prudhomme St , Opelousas LA 70570-6499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bourgeois, Jeanette M can be contacted via phone (337) 943-7128.

Contact Information

Primary practice address
539 E Prudhomme St Opelousas LA 70570-6499
Phone: (337) 943-7128
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN022916 Louisiana

Profile Details

NPI number 1922148154
LBN Legal business name Bourgeois, Jeanette M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 28th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922148154 NPPES
Louisiana MEDICAID 1395447

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