NPI 1114511334

Jasmine Nicole Elaire

Practitioner Driver Lafayette, LA

Practice location

Address: 346 Huval St, Lafayette, LA 70501-4114
Phone: (337) 212-4538

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1114511334
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2021
Record last updated: 28 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.