Individual
DR. JILLIAN PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4302 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-7533
(337) 357-5048
Mailing address
2810 CEDARWOOD DR, NEW IBERIA, LA 70560-0415
(337) 247-1513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2043
LA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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