Jessica Petry, M.D.
Internal Medicine in Lafayette, LA. Individual provider (NPI-1).
NPI number1083000384
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1083000384
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Petry
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 303881 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
206 Energy ParkwayLafayette, LA 70508-3816
Phone 337-504-3335 · Fax 337-504-4795
Mailing address
206 Energy ParkwayLafayette, LA 70508-3816
Phone 337-504-3335 · Fax 337-504-4795
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