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Individual

JAIME ELLIS GAUDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
CEP11471
CA
363LF0000X
Family Nurse Practitioner
Primary
AP07076
LA

Other

Enumeration date
11/28/2011
Last updated
05/20/2014
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