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Individual

VALERIE PERRAULT JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 W PINHOOK RD STE 201, LAFAYETTE, LA 70503-2464
(337) 237-0650
(888) 990-2781
Mailing address
1003 EMANCIPATION BLVD, BROUSSARD, LA 70518-7450
(225) 718-5319

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN141287
LA
363LF0000X
Family Nurse Practitioner
Primary
AP09737
LA

Other

Enumeration date
03/13/2018
Last updated
06/13/2025
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