Organization
JEFFERSON STREET PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE RABENALDT (CREDENTIALING COORDINATOR/HR)
(337) 330-2576
Entity
Organization
Contact information
Practice address
618 JEFFERSON BLVD, LAFAYETTE, LA 70501-7206
(337) 345-1709
(337) 345-4221
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 330-2576
(337) 417-9909
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
02/11/2026
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