Healthcare Provider Details

I. General information

NPI: 1346032661
Provider Name (Legal Business Name): JENNIFER RANSONET RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 W CONGRESS ST STE 1850
LAFAYETTE LA
70506-6783
US

IV. Provider business mailing address

4212 W CONGRESS ST STE 1850
LAFAYETTE LA
70506-6783
US

V. Phone/Fax

Practice location:
  • Phone: 337-703-4874
  • Fax:
Mailing address:
  • Phone: 337-703-4874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN097322
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: