Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JO DEE GOODEAUX BROUSSARD, PA
ActiveJO DEE GOODEAUX BROUSSARD, PA is a Physician Assistant healthcare provider located in LAFAYETTE, Louisiana. NPI 1578890190 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAFAYETTE, LA
Registration Details
- NPI Number
- 1578890190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2009 (16.769437967335 yrs)
- Last Updated
- Oct 6, 2017
- License
-
PA200320 (LA)
Practice Information
- Address
-
108 RUE LOUIS XIVLAFAYETTE, LA, 705085739Browse LA providers · Browse ZIP 70508
- Phone
- 3372358007
- Fax
- 8552705479
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAFAYETTE, LA
| Name | Credential | NPI |
|---|---|---|
| JASON R COMEAUX | PA-C | 1104825371 |
| RYAN PAUL ARMENTOR | — | 1629042312 |
| MR. RICHARD RODNEY ROBIN | PA-C | 1437119070 |
| TODD A DEVALCOURT | P.A. | 1033150784 |
| SHANE T BROUSSARD | P.A. | 1164468435 |
| DONNA JEANNE VIAL | PA | 1306878186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.