Individual
RANESE ECHELL JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD479168
PA
208M00000X
Hospitalist Physician
335280
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
03/13/2026
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