Healthcare Provider Details

I. General information

NPI: 1457679300
Provider Name (Legal Business Name): JENNIFER LASHAY ATKINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LASHAY RUMPH M.D.

II. Dates (important events)

Enumeration Date: 05/16/2010
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 N ACADIA RD STE 100
THIBODAUX LA
70301-4897
US

IV. Provider business mailing address

604 N ACADIA RD STE 100
THIBODAUX LA
70301-4897
US

V. Phone/Fax

Practice location:
  • Phone: 985-447-9045
  • Fax:
Mailing address:
  • Phone: 985-447-9045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25924
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME179267
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW3332
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number350254
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number070420
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32527
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number79686
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: