Individual
JARED VANCE VERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1211 COOLIDGE BLVD STE 300, LAFAYETTE, LA 70503-2637
(337) 289-0042
(337) 289-0043
Mailing address
106 RUE RIDEAU, LAFAYETTE, LA 70503-6236
(337) 303-3665
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN152515
LA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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