Mayeux, Romona Broussard
Mayeux, Romona Broussard is an individual health care provider with primary practice located at 248 E Capitol St Room 105, Jackson MS 39201-2503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mayeux, Romona Broussard can be contacted via phone (601) 714-2563.Contact Information
Primary practice address
248 E Capitol St Room 105
Jackson MS 39201-2503
Phone: (601) 714-2563
Fax: (601) 510-4653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN041380 AP01824 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R881289 | Mississippi |
Profile Details
| NPI number | 1437151636 |
|---|---|
| LBN Legal business name | Mayeux, Romona Broussard |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1437151636 | NPPES |
| Louisiana | Other | AP01824 | APN LICENSE NUMBER |
| Louisiana | MEDICAID | 1655244 | APN LICENSE NUMBER |
| Louisiana | Other | R881289 | APN LICENSE NUMBER |
| Louisiana | Other | RN041380 | APN LICENSE NUMBER |
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