Individual provider · Type 1 NPI

Jacob Anthony Champagne, FNP-C

Nurse Practitioner · Lafayette, LA

NPI number 1508510413 Active

Practice location

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Call (337) 470-2911 Map

Mailing address

133 Maddox Jude Dr
Maurice, LA 70555-3355

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X224252 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508510413

Jacob Anthony Champagne, FNP-C's National Provider Identifier is 1508510413, issued on Feb 9, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lafayette, LA. The record was last updated on Feb 9, 2022.