JEROME RICHARD

LAFAYETTE, LA
NPI1366253213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: LA  242512)
Additional Taxonomies163WE0003X Registered Nurse Emergency
(Licence: LA  RN141212)
Enumeration Date2025-01-17
Last Update Date2025-07-26
Business Address
JEROME RICHARD PMHNP-BC
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6000
Mailing Address
JEROME RICHARD PMHNP-BC
4540 FORET ST
ADDIS, LA 70710-2553
Phone number:
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