IndividualActive
Bradlee Bourgeois, NP-C
NPI 1447796552 · Primary Care Nurse Practitioner · Kenner, LA
Provider details
- NPI number
- 1447796552
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP09125 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 Williams Blvd
Kenner, LA 70062-6304
Phone: (504) 465-1506
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Williams Blvd
Kenner, LA 70062-6304
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.