IndividualActive
Adele Broussard, PA-C
NPI 1972118842 · Physician Assistant · Raceland, LA
Provider details
- NPI number
- 1972118842
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 324301 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
141 Twin Oaks Dr
Raceland, LA 70394-2761
Phone: (985) 537-2666
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.