Individual
MS. JORDAN MARCUS FORSTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Mailing address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP05418
LA
Other
Enumeration date
08/12/2008
Last updated
03/21/2014
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