Provider Demographics
NPI:1528680782
Name:GUIDROZ, JENSEN FAUCHEUX (FNP)
Entity type:Individual
Prefix:
First Name:JENSEN
Middle Name:FAUCHEUX
Last Name:GUIDROZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JENSEN
Other - Middle Name:NICOLE
Other - Last Name:FAUCHEUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:328 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-3863
Mailing Address - Country:US
Mailing Address - Phone:985-278-1435
Mailing Address - Fax:
Practice Address - Street 1:708 W ESPLANADE AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2736
Practice Address - Country:US
Practice Address - Phone:504-389-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI45818363LP2300X
LA227428363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care