Bourque, Jodie Marie Duhon

Bourque, Jodie Marie Duhon is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd , Lafayette LA 70508-5783. 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. Bourque, Jodie Marie Duhon can be contacted via phone (337) 988-5646.

Contact Information

Primary practice address
1103 Kaliste Saloom Rd Lafayette LA 70508-5783
Phone: (337) 988-5646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP07321 Louisiana

Profile Details

NPI number 1386611911
LBN Legal business name Bourque, Jodie Marie Duhon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 21st, 2022 - about 2 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 1386611911 NPPES
Alabama MEDICAID 009936312
Alabama MEDICAID 307523100
Alabama Other G3933
Alabama Other 591-84925

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