Individual provider · Type 1 NPI

Carly Bourgeois

Physician Assistant · Zachary, LA

NPI number 1154095479 Active

Practice location

6300 Main St
Zachary, LA 70791-4037

Call (225) 765-7163 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X328269 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154095479

Carly Bourgeois's National Provider Identifier is 1154095479, issued on Aug 2, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Zachary, LA. The record was last updated on Aug 2, 2021.