Healthcare Provider Details

I. General information

NPI: 1346144318
Provider Name (Legal Business Name): ASHLEY N. BREAUX-BAUDEAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44473 HIGHWAY 429 STE 201
SAINT AMANT LA
70774-4510
US

IV. Provider business mailing address

44473 HIGHWAY 429 STE 201
SAINT AMANT LA
70774-4510
US

V. Phone/Fax

Practice location:
  • Phone: 985-856-4229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number249129
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: