person
Ms. Gina Leisha Broussard, FNP
Family Nurse Practitioner in Merced, California
NPI 1023564812

Gina Leisha Broussard is a Family Nurse Practitioner based in Merced, CA and is specialized in Family. Gina Leisha Broussard practices in Merced, CA and has the professional credentials of FNP. The NPI Number for Gina Leisha Broussard is 1023564812 and holds a License No. 565760 (California).

The current practice location address for Gina Leisha Broussard is 3349 G St Ste F, Merced, CA and can be reached out via phone at 209-349-8459 and via fax at 209-580-4671.

Location: 3349 G St Ste F, Merced, CA, 95340-0675
person
Provider Profile Details
NPI Number
1023564812
Provider Name
Gina Leisha Broussard
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3349 G St Ste F, Merced, CA, 95340-0675
Phone Number
209-349-8459
Fax Number
209-580-4671
Provider Enumeration Date
08/31/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
3349 G St Ste F
City
State
Zip
95340-0978
Phone Number
209-349-8459
Fax Number
209-580-4671
person
Provider Business Mailing Address Details
Address
3349 G St Ste F
City
State
Zip
95340-0978
Phone Number
209-349-8459
Fax Number
209-580-4671
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
565760 (California)
Definition
Definition to come...
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