Crystal White Jeansonne, FNP
Nurse Practitioner, Family in Lafayette, LA. Individual provider (NPI-1).
Details
- NPI
- 1124489372
- Entity type
- Individual (NPI-1)
- Name
- Crystal White Jeansonne
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2016
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP08664 | LA | Yes |
Practice location
4906 Ambassador Caffery PkwyLafayette, LA 70508-6962
Phone 337-470-8699 · Fax 337-470-7718
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 337-366-6004 · Fax 225-765-9196
Other practice locations
Lafayette, LA 70508-5705
Phone 337-470-1058 · Fax 337-470-0047
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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