NPI 1043952591

Katherine Broussard, PAC

Practitioner Physician Assistant Jefferson, LA

Practice location

Address: 1514 Jefferson Hwy, Jefferson, LA 70121-2429
Phone: (504) 579-6504
Mailing address: 1514 Jefferson Hwy, New Orleans, LA 70121-2429

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 334263 (LA)

Other Physician Assistant providers in Louisiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1043952591
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 29 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.