Individual
JESSICA CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 233-6665
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218022
LA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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