Individual
JESSICA QUEBEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 WESTGATE RD, LAFAYETTE, LA 70506-2711
(337) 232-1802
(337) 232-1809
Mailing address
2314 KALISTE SALOOM RD APT 2312, LAFAYETTE, LA 70508-6842
(337) 278-7176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07524
LA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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