Provider Demographics
NPI:1548751142
Name:BUJOL, RENEE MITCHELL (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:MITCHELL
Last Name:BUJOL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:222-526-0002
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4353 HWY 1 S
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-5826
Practice Address - Country:US
Practice Address - Phone:225-749-2645
Practice Address - Fax:225-749-8216
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-20
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09897363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily