IndividualActive
Connie Brunson, PA
NPI 1841381647 · Medical Physician Assistant · Baton Rouge, LA
Provider details
- NPI number
- 1841381647
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA.200104.RX (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7777 Hennessy Blvd Ste 501b
Baton Rouge, LA 70808-4300
Phone: (225) 765-3456
Fax: (225) 765-1899
Approximate (ZIP-level) locationGet directions
Mailing address
7777 Hennessy Blvd
Baton Rouge, LA 70808-4300
Additional practice locations (1)
- 8200 Constantin Blvd Fl 3Baton Rouge, LA 70809-3481Phone: (225) 765-5500Fax: (225) 765-1899
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.