Individual
JESSICA T FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
703 E PRUDHOMME ST, OPELOUSAS, LA 70570-6494
(337) 942-7192
(337) 942-5940
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779
(337) 769-7788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200328
LA
Other
Enumeration date
11/16/2009
Last updated
07/28/2017
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