MEDICARE: JODI VINCENS BURAS FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	AP03852	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265409080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI VINCENS BURAS FNP-BC

Provider Business Mailing Address
First Line	:	160 GREENBRIER BLVD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-7233
Country	:	US
Telephone Number	:	985-893-5780
Fax Number	:	985-893-0601

Provider Business Practice Location Address
First Line	:	160 GREENBRIER BLVD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-7233
Country	:	US
Telephone Number	:	985-893-5780
Fax Number	:	985-893-0601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	02/11/2026

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