Organization · Type 2 NPI
Jefferson Street Primary Care Clinic
Primary Care Clinic/Center · Lafayette, LA
NPI number
1124811450
Active
Practice location
618 Jefferson Blvd
Lafayette, LA 70501-7206
Fax (337) 345-4221
Mailing address
302 Hacker St
New Iberia, LA 70560-4508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1124811450
Jefferson Street Primary Care Clinic's National Provider Identifier is 1124811450, issued on May 28, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lafayette, LA. The record was last updated on Feb 11, 2026.