Jena M. Roy FNP LLC
Organization Active NPI Clinic/Center · Basile, LA
NPI 1265710982 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1265710982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- AP06059 (LA)
- Legal business name
- JENA M. ROY FNP LLC
- Practice address
- 2932 Stagg Ave
Ste a
Basile, LA 70515-5560 - Phone
- (337) 432-5552
- Fax
- (337) 432-5553
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jena Miller Roy, FNP-BC
- Title
- Owner
- Phone
- (337) 432-5552
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/3345/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | AP06059 | LA | Yes |
Addresses
Primary practice location
2932 Stagg Ave
Ste a
Basile, LA 70515-5560
Mailing address
2932 Stagg Ave
Ste a
Basile, LA 70515-5560
Phone (337) 432-5552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116479 | Medicaid | LA |
Other names
- Basile Family Healthcare
Other providers in Basile, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.