Jazayeri, Mary
Jazayeri, Mary is an individual health care provider with primary practice located at 4650 Ambassador Caffery Pkwy Bldg C , Lafayette LA 70508-6926. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Jazayeri, Mary can be contacted via phone (337) 470-5239.Contact Information
Primary practice address
4650 Ambassador Caffery Pkwy Bldg C
Lafayette LA 70508-6926
Phone: (337) 470-5239
Fax: (225) 765-9886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 223793 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2198 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP03263 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 223793 | Louisiana |
Profile Details
| NPI number | 1518943836 |
|---|---|
| LBN Legal business name | Jazayeri, Mary |
| Credentials | NP, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jun 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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