Individual provider · Type 1 NPI

Gina Leisha Broussard, FNP

Family Nurse Practitioner · Merced, CA

NPI number 1023564812 Active

Practice location

3349 G St Ste F
Merced, CA 95340-0978

Fax (209) 580-4671

Mailing address

1154 Granite Ct
Merced, CA 95340-0675

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X565760 (CA)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1023564812

Gina Leisha Broussard, FNP's National Provider Identifier is 1023564812, issued on Aug 31, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Merced, CA. The record was last updated on Aug 9, 2024.