Deborah Ann Bourgeois, CNS

Individual provider Active NPI Clinical Nurse Specialist · New Orleans, LA

NPI 1962707786 · NPPES record last updated Jan 26, 2011

Key facts

NPI
1962707786
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Nurse Specialist 364S00000X
License
AP06236 (LA)
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-5630
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN035354LAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Xliii, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbourgeois19117@direct.ochsner.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP06236 LA Yes
Clinical Nurse Specialist 364S00000X RN035354 LA

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-5630

Other names

  • Deborah Ann Bulliung Former name

Other providers in New Orleans, LA

All providers in New Orleans, LA · Clinical Nurse Specialist in Louisiana

Sources for this page

Verify at the official NPI Registry.