Individual
LISA ANN JAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
2621 NORTH DR, SUITE B, ABBEVILLE, LA 70510-4042
(337) 898-1860
(337) 898-1862
Mailing address
2621 NORTH DR, SUITE B, ABBEVILLE, LA 70510-4042
(337) 898-1860
(337) 898-1862
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN066949 AP05153
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010944
—
LA
Enumeration date
03/29/2007
Last updated
12/17/2009
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