IndividualActive
Ericka Broussard, NP
NPI 1962688077 · Adult Health Nurse Practitioner · Lafayette, LA
Provider details
- NPI number
- 1962688077
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- AP05431 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4640 Amb Caffery Pkwy Bldg B
Lafayette, LA 70508-6902
Phone: (337) 984-1050
Fax: (337) 984-8776
Approximate (ZIP-level) locationGet directions
Mailing address
105 Hanna Dr
Youngsville, LA 70592-5520
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.