# JESSICA PETRY, M.D. A.P.M.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447752100
- **Authorized official:** CATHERINE BEAULLIEU (ADMINISTRATOR)
- **Authorized official phone:** (337) 504-3335

## Contact information

- **Practice address:** 4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508
- **Practice address phone:** (337) 504-3335
- **Practice address fax:** (337) 504-4795
- **Mailing address:** 4809 AMBASSADOR CAFFERY PKWY STE 410, LAFAYETTE, LA 70508-8802
- **Mailing address phone:** (337) 504-3335
- **Mailing address fax:** (337) 504-4795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 303881 | LA | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 07/26/2018