Broussard, Cassie
Broussard, Cassie is an sole proprietor health care provider with primary practice located at 100 Beauvais Ave Ste A2 , Lafayette LA 70507-2469. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broussard, Cassie can be contacted via phone (318) 405-1026.Contact Information
Primary practice address
100 Beauvais Ave Ste A2
Lafayette LA 70507-2469
Phone: (318) 405-1026
Fax: (862) 298-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP08875 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP128734 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP08875 | Louisiana |
Profile Details
| NPI number | 1831567387 |
|---|---|
| LBN Legal business name | Broussard, Cassie |
| Credentials | FNP-BC, PMHNP-BC DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2015 |
| Last updated | Mar 8th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831567387 | NPPES |
| Louisiana | MEDICAID | 2470604 |
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