Individual
MRS. JESSICA MICHELLE BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S COLLEGE RD STE 220, LAFAYETTE, LA 70503
(337) 456-7880
Mailing address
100 ASMA BLVD STE 200, LAFAYETTE, LA 70508-3868
(337) 456-7880
(337) 456-7882
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
06/04/2018
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