Individual provider · Type 1 NPI

Tracie Roussel O'Bannon

Family Nurse Practitioner · St. Gabriel, LA

NPI number 1700743101 Active

Practice location

735 Highway 30 Ste D
St. Gabriel, LA 70776-5015

Call (225) 314-9314 Map

Mailing address

39041 Balmoral Dr
Prairieville, LA 70769-4854

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X245084 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1700743101

Tracie Roussel O'Bannon's National Provider Identifier is 1700743101, issued on Jan 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Gabriel, LA. The record was last updated on Apr 7, 2026.