Individual
JACQUELINE JUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2017
(337) 470-2809
Mailing address
1000 W PINHOOK RD STE 301, LAFAYETTE, LA 70503-2460
(337) 264-1011
(337) 264-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09439
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP09439
NURSE PRACTITIONER LICENSE
LA
Enumeration date
07/06/2017
Last updated
07/21/2022
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