Jessica La Greco Brousse, A.P.R.N., F.N.P.-C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06669 Issued in LA

Practice address

1520 Gause Blvd
Slidell, LA 70458-2208

Phone

(985) 646-0945

Fax

(985) 643-8510

NPI assigned

Dec 8, 2011

Last updated

Mar 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Clinic of Houma

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  • Houma, LA
  • NPI 1689750192
  NPD
• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1164790937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0001",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582208",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSE",
        "first_name": "JESSICA",
        "middle_name": "LA GRECO",
        "credential": "A.P.R.N., F.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01030618",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1819417",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Brooks
• Heather L Brooks, FNP-C
• Raquel Mone Brookter
• Elizabeth Hill Brossett, RN
• Kelly Broussard
• Naomi Luann Brower
• Angela Lynette Brown
• Cassie Brown
• Efrem Brown
• Latoya C Brown

• Family Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.