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

Tracie Roussel O'Bannon

Individual provider Family Nurse Practitioner · NPI 1700743101

Tracie Roussel O'Bannon is a Family Nurse Practitioner in Saint Gabriel, Louisiana. Licensed in Louisiana. Registered with an NPI since 2026.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

735 Highway 30 Ste D
Saint Gabriel, LA 70776-5015
Phone: (225) 314-9314
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 245084 (LA)

Record details

NPI number1700743101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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