Search › Louisiana › 163WC1500X
Jennifer Breaux
NPI 1124501168 · on the registry since 2018
Practice
- Address
- 15481 W Club Deluxe Rd
Hammond, LA 70403 - Phone
- (985) 543-4165
- Clinicians at this address
- 19
Additional practice sites
- 20399 Government Blvd, Livingston, LA
- 120 11th Ave, Franklinton, LA
- 330 W Oak St, Amite, LA
- 626 Carolina Ave, Bogalusa, LA
Registry record
- Primary taxonomy
- 163WC1500X
163WC1500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana