Individual
JIMANESHA MARIE CARMOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1211 COOLIDGE BLVD STE 100, LAFAYETTE, LA 70503-2638
(337) 289-8400
Mailing address
1040 BRIDGETOWNE LN, BREAUX BRIDGE, LA 70517-8124
(337) 258-5027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214903
LA
Other
Enumeration date
07/30/2020
Last updated
11/27/2023
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