Breaux, Jill Angelle

Breaux, Jill Angelle is an individual health care provider with primary practice located at 1322 Elton Rd Suite F, Jennings LA 70546-4100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Breaux, Jill Angelle can be contacted via phone (337) 824-8868.

Contact Information

Primary practice address
1322 Elton Rd Suite F Jennings LA 70546-4100
Phone: (337) 824-8868
Fax: (337) 824-8840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 07103 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 07103 Louisiana

Profile Details

NPI number 1598019978
LBN Legal business name Breaux, Jill Angelle
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2012
Last updated Jul 6th, 2020 - about 4 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 1598019978 NPPES
Louisiana MEDICAID 2327500

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