Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Bourgeois

Individual provider Physician Assistant · NPI 1154095479

Carly Bourgeois is a Physician Assistant in Zachary, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021

Practice location Address checks out

6300 Main St
Zachary, LA 70791-4037
Phone: (225) 765-7163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 328269 (LA)

Record details

NPI number1154095479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address6300 Main St, Zachary, LA 70791-4037

Other providers in Zachary