Individual
JAMIE G GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N LEWIS ST STE 280, NEW IBERIA, LA 70563-2046
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147429
LA
363LF0000X
Family Nurse Practitioner
Primary
222186
LA
Other
Enumeration date
09/20/2021
Last updated
06/27/2022
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