Healthcare Provider Details

I. General information

NPI: 1528680782
Provider Name (Legal Business Name): JENSEN FAUCHEUX GUIDROZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENSEN NICOLE FAUCHEUX FNP

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 W ESPLANADE AVE
KENNER LA
70065-2736
US

IV. Provider business mailing address

328 ASPEN DR
RACELAND LA
70394-3863
US

V. Phone/Fax

Practice location:
  • Phone: 504-389-6600
  • Fax:
Mailing address:
  • Phone: 985-278-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number227428
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPI45818
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: