Individual
JACQUELINE KLAIRE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7191
Mailing address
100 BEVERLY DR, LAFAYETTE, LA 70503-3106
(337) 581-5557
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
232076
LA
363LF0000X
Family Nurse Practitioner
232076
LA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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