Individual
MR. CHRISTOPHER TODD JEANSONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2912 JOHNSTON ST, LAFAYETTE, LA 70503-3246
(337) 456-3519
Mailing address
409 BENOIT RD, CARENCRO, LA 70520-6116
(318) 419-4029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08004
LA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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