Individual
MS. JANET RUTH JURACOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
121 RUE LOUIS XIV BLDG 4, SUITE B, LAFAYETTE, LA 70508-5738
(337) 984-9355
(337) 984-9592
Mailing address
121 RUE LOUIS XIV BLDG 4, SUITE B, LAFAYETTE, LA 70508-5738
(337) 984-9355
(337) 984-9592
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN063196
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06340
LA
363LA2200X
Adult Health Nurse Practitioner
RN063196-AP06340
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2196391
—
LA
Enumeration date
03/23/2011
Last updated
05/13/2014
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