Healthcare Provider Details
I. General information
NPI: 1114316635
Provider Name (Legal Business Name): BRIANNE LAGASSE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/21/2015
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 BEECHWOOD GARDENS LANE
COVINGTON LA
70435
US
IV. Provider business mailing address
9 BEECHWOOD GARDENS LANE
COVINGTON LA
70435
US
V. Phone/Fax
- Phone: 985-951-9932
- Fax: 985-871-9094
- Phone: 985-951-9932
- Fax: 985-871-9094
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | AP08205 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP08205 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: