Individual provider · Type 1 NPI
Jordan Stein Broussard, FNP-C
Occupational Health Nurse Practitioner · Westlake, LA
NPI number
1215310453
Active
Practice location
3301 Old Spanish Trail
Westlake, LA 70669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Health Nurse Practitioner Primary | 363LX0106X | 8399 (LA) |
Occupational Health Nurse Practitioner: Definition to come...
About NPI 1215310453
Jordan Stein Broussard, FNP-C's National Provider Identifier is 1215310453, issued on Jul 7, 2015. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Westlake, LA. The record was last updated on Jun 15, 2016.