Individual provider · Type 1 NPI

Mary Jo Broussard

Nurse Practitioner · New Orleans, LA

NPI number 1285844571 Active

Practice location

1541 Tulane Ave
New Orleans, LA 70112-2821

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X046359-3340 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1285844571

Mary Jo Broussard's National Provider Identifier is 1285844571, issued on May 23, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Orleans, LA. The record was last updated on Jul 8, 2007.