Jessica Broussard
Peer Specialist in Elmwood, LA. Individual provider (NPI-1).
NPI number1831787985
StatusActive
Last updated in NPPESApr 2, 2026
Details
- NPI
- 1831787985
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Broussard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2021
- Certification date
- Apr 2, 2026
- Last updated
- Apr 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | LA | Yes |
Practice location
1500 River Oaks Rd WElmwood, LA 70123-2163
Phone 504-495-6870
Mailing address
1500 River Oaks Rd WElmwood, LA 70123-2163
Phone 504-495-6870
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