Individual
JEDEDIAH DAVID MECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1325 WRIGHT AVE, STE. H, CROWLEY, LA 70526-2226
(337) 788-2554
(337) 788-1167
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 872-5864
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2427547
—
LA
Enumeration date
06/15/2016
Last updated
02/02/2017
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