Organization · Type 2 NPI
Bourgeois Family Medicine Clinic A Professional Medical Corporation
Clinic/Center · Jeanerette, LA
NPI number
1710169479
Active
Practice location
1409 Church St
Jeanerette, LA 70544-4407
Fax (337) 276-9507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 017806 (LA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5 other providers at this address
- St. Joseph's Clinic of LouisianaFamily Medicine Physician Jeanerette, LA NPI 1437042959
- Bradley Dickey, FNP-CFamily Nurse Practitioner Jeanerette, LA NPI 1487401097
- Henrietta Lee Chambers, NPFamily Nurse Practitioner Jeanerette, LA NPI 1255377313
- Leonard JB Bourgeois Sr., MDFamily Medicine Physician Jeanerette, LA NPI 1053413583
- Mackenzie Rae WendtPhysician Assistant Jeanerette, LA NPI 1124802525
About NPI 1710169479
Bourgeois Family Medicine Clinic A Professional Medical Corporation's National Provider Identifier is 1710169479, issued on Dec 4, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jeanerette, LA. The record was last updated on Mar 11, 2008.