Individual provider · Type 1 NPI

Kristina Marie Farragut, MD

Student in an Organized Health Care Education/Training Program · Jefferson, LA

NPI number 1568309813 Active

Practice location

1401 Jefferson Hwy
Jefferson, LA 70121-2426

Call (504) 842-3260 Map

Fax (504) 842-3193

Mailing address

3712 Plaza Dr
Chalmette, LA 70043-1460

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568309813

Kristina Marie Farragut, MD's National Provider Identifier is 1568309813, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson, LA. The record was last updated on Aug 7, 2026.