JILL ANGELLE BREAUX (NPI# 1598019978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598019978 |
| Entity Type | Individual |
| Full Name | JILL ANGELLE BREAUX |
| Credential | APRN, FNP-C |
| Practice Address |
1322 Elton Rd Suite F Jennings LA 70546-4100 |
| Practice Telephone | 3378248868 |
| Practice Fax Number | 3378248840 |
| Mailing Telephone | 3378248868 |
| Mailing Fax Number | 3378248840 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
07103 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
07103 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2327500 | 05 |
| Street Address |
1322 ELTON RD SUITE F |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929813 | Lam Duy Nguyen | Internal Medicine | 1322 Elton Rd, Suite E, Jennings, LA 70546-4138 | 2005-11-18 |
| 1003356627 | Christian Lewis | Nurse Practitioner | 1322 Elton Rd, Suite P, Jennings, LA 70546-4100 | 2017-03-01 |
| 1588112239 | Lhcg Lxxviii, LLC | Home Health | 1322 Elton Rd, Suite B, Jennings, LA 70546-4100 | 2016-09-12 |
| 1295192557 | Jennings American Legion Hospital Inc. | Clinic/Center | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2016-01-18 |
| 1457751307 | Imperial Health, LLP | Internal Medicine | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2014-08-28 |
| 1558794065 | Jessie M Broussard | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2013-08-20 |
| 1538416524 | Mandy Dalton Persick | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2012-08-08 |
| 1760743058 | Laci Huckaby Byrne | Nurse Practitioner | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2012-06-03 |
| 1134491947 | Sarah Kay Deese | Registered Nurse | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2012-02-09 |
| 1376823716 | Health Mart Medical of Lafayette, L.L.C. | Durable Medical Equipment & Medical Supplies | 1322 Elton Rd, Ste A, Jennings, LA 70546-4100 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638737 | Dpdnp, LLC | Nurse Practitioner | 1264 Avenue Du Chateau, Covington, LA 70433-6423 | 2020-10-26 |
| 1700496429 | Kyur LLC | Nurse Practitioner | 1581 Carol Sue Ave Ste B, Gretna, LA 70056-5100 | 2020-08-06 |
| 1548870439 | Tamara Dianne Mcadams | Nurse Practitioner | 156 Bobby Johnson Rd, Farmerville, LA 71241-8138 | 2020-08-05 |
| 1699384099 | Health & Wellness Home Medical Services, LLC | Nurse Practitioner | 211 N 1st St Ste 2, Amite, LA 70422-2466 | 2020-07-31 |
| 1417565615 | Bobby D Chelette | Nurse Practitioner | 181 Hat Creek Dr, West Monroe, LA 71292-1031 | 2020-07-14 |
| 1396363438 | Blake Mccullough Williams | Nurse Practitioner | 1017 N Pine St, Deridder, LA 70634-2817 | 2020-07-06 |
| 1730712605 | Christopher Aaron Sissell | Nurse Practitioner | 1850 Gause Blvd E Ste 103, Slidell, LA 70461-5454 | 2020-02-19 |
| 1790316610 | Perkins Nurse Practitioner Services | Nurse Practitioner | 9307 Melissa Way, Shreveport, LA 71115-2527 | 2020-01-29 |
| 1598305260 | Hollie Cavel Touchet | Nurse Practitioner | 116 Chicory Ln, Lafayette, LA 70506-9210 | 2020-01-10 |
| 1780228312 | Sharel Randolph Williams | Nurse Practitioner | 614 Harmony St, New Orleans, LA 70115-1108 | 2019-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.