Healthcare Provider Details

I. General information

NPI: 1184696502
Provider Name (Legal Business Name): JASON C MORVANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 09/03/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4207 E OLD JEANERETTE ROAD
NEW IBERIA LA
70560
US

IV. Provider business mailing address

2309 E MAIN ST SUITE 200
NEW IBERIA LA
70560-4046
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-7226
  • Fax:
Mailing address:
  • Phone: 337-364-7226
  • Fax: 337-264-7238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD425935
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD026368
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: