Tawanna Chretien, LPN
Individual provider Active NPI Licensed Practical Nurse · Broussard, LA
NPI 1386574440 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1386574440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 30006612 (LA)
- Practice address
- 107 Bristow Bayou Rd
Broussard, LA 70518-8058 - Phone
- (337) 552-8041
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30006612 | LA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JKL Healthcare Services LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30006612 | LA | Yes |
Addresses
Primary practice location
107 Bristow Bayou Rd
Broussard, LA 70518-8058
Mailing address
107 Bristow Bayou Rd
Broussard, LA 70518-8058
Phone (337) 552-8041
Other providers in Broussard, LA
- Jentell Shonta Calais
- Gene Thomas Callais Jr.
- Jasmine Campbell
- Care Medical, LLC
- Choca MD LLC
- Victoria Duyen N Chu
- Christopher Jeffery Cigainero
- Kelli M Cocke
- Courtney K Collier
- Ana Colon
All providers in Broussard, LA · Licensed Practical Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. 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.