Thibodaux, Jessica Benoit

Thibodaux, Jessica Benoit is an individual health care provider with primary practice located at 1320 Martin Luther King Dr , Thibodaux LA 70301-4886. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thibodaux, Jessica Benoit can be contacted via phone (985) 446-2021.

Contact Information

Primary practice address
1320 Martin Luther King Dr Thibodaux LA 70301-4886
Phone: (985) 446-2021
Fax: (985) 447-1546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06094 Louisiana

Profile Details

NPI number 1861718926
LBN Legal business name Thibodaux, Jessica Benoit
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Dec 7th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861718926 NPPES
Louisiana MEDICAID 2169840

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