Organization
NP MOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DUCHARME JACOBS NP (OWNER)
(337) 210-5827
Entity
Organization
Contact information
Practice address
1921 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-6183
(337) 210-5827
(844) 482-4077
Mailing address
1921 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-6183
(337) 210-5827
(844) 482-4077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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