Brooke James: Sr. FNP-C

Brooke James is board certified by the American Academy of Nurse Practitioners as a Family Nurse Practitioner. Mrs. James has been practicing in Family medicine since 2010. She strives to provide quality heath care with compassion. She and her husband live in Madisonville, LA and have a son, Ryan. They enjoy traveling and spending time with family.

Book Appointment with Brooke James

Peggy Gautreau: CNM

Originally from New Orleans. Peggy began her career in an Emergency Room at Charity Hospital for 10 years as an Emergency Room Nurse. After completing graduate school, she did a 10 year stint as a Nurse Midwife with North Oaks OBGYN. In October of 2013, Peggy wanted to extend help to more people in which the Total Family Medical Legacy began. Peggy sees females of all ages for a variety of Women’s Health and Gynecological care. She is a strong advocate for empowering her team, and she fiercely believes that the team plays a pivotal role in shaping modern health care.


Cliff Stringer, FNP

Lloyd “Cliff” Stringer is board certifed by the American Academy of Nurse Practitioners as a family nurse practitioner. In September 2019, he joined an outstanding team of health care providers and staff at Total Family Medical as one of their staff. He began his career in healthcare as a nurse in 2001, where the majority of his time was spent caring for the critically ill. His career focus has changed and is now the focus is on providing quality health care to the people of our city and community. He is married and has two children. They enjoy the outdoors, camping, fishing, and spending time with family and friends.


Leslie Nunnery, FNP-C

Leslie Nunnery is a board-certified family nurse practitioner (FNP-C). She is a graduate of Louisiana State University Health Sciences Center, where she received her bachelor’s degree in Nursing in 2010. She continued her education at the University of South Alabama and graduated with her Master of Science in Nursing in 2021. Leslie was inducted as a member of the Sigma Theta Tau International Honor Society of Nursing in 2021 as well.

Leslie has a career interest in caring for children and adults in the primary care setting. She has a gained valuable experience in multiple areas including hospital, community, psychiatric, and geriatric settings. Not only does she aim to provide quality healthcare to the members of the surrounding community, she also has a passion for delivering care to those who are underserved. No stranger to children, Leslie enjoys spending quality time with her family and attending her children’s sports events.


Brandi Porche, FNP

Brandi Porche is a board-certified Family nurse practitioner. She received her Bachelor of Science in nursing from our lady of the holy cross college in 2008. In 2013 she received her Master of Science in Nursing from University of South Alabama. This Busy mom of three is dedicated to all her patients and works tirelessly to help them achieve their best health.


Sarah McCarley, LCSW

Sarah McCarley has been a licensed clinical social worker (LCSW) since 2012. She has been practicing in the social work field since 2005. She is a North Louisiana transplant since 2005; She grew up in Ouachita Parish. She graduated with a Masters degree in Social Work from Stephen F. Austin State University in 2005. She graduated with a Bachelors of Arts in Sociology from Louisiana Tech. She provides counseling services at Total Family Medical at least 2 days a week to assist with a variety of issues for our patients. She has been working in the mental health field for most of her career. Her mottos are “there is always room for improvement” and “progress not perfection.” I feel that God has given me success in this field, and I do rely on Him for guidance in my own personal life.