JACOB ANTHONY CHAMPAGNE

LAFAYETTE, LA
NPI1508510413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  224252)
Enumeration Date2022-02-09
Last Update Date2022-02-09
Business Address
Mr. JACOB ANTHONY CHAMPAGNE FNP-C
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6917
Phone number: 337-470-2911
Mailing Address
Mr. JACOB ANTHONY CHAMPAGNE FNP-C
133 MADDOX JUDE DR
MAURICE, LA 70555-3355
Phone number: 337-230-0104
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