Organization
STELLA MARIS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA BETH GAUTREAUX APRN, ANP (OWNER)
(225) 333-9559
Entity
Organization
Contact information
Practice address
1231 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 210-1614
Mailing address
101 JACKSON ST, FRANKLIN, LA 70538-5430
(225) 333-9559
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
09/14/2015
Last updated
07/21/2022
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