Individual
JACI RAE PHILLIBER PATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 S PRIEUR ST, NEW ORLEANS, LA 70112-2239
(504) 556-3420
Mailing address
411 S WAKEFIELD DR, LAFAYETTE, LA 70503-4631
(337) 281-7297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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