Healthcare Provider Details

I. General information

NPI: 1114389541
Provider Name (Legal Business Name): JO'EL CHERI WELCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 WINTER ST
LUCEDALE MS
39452-6603
US

IV. Provider business mailing address

4864 JACKSON STREET FAMILY MEDICINE
MONROE LA
71210
US

V. Phone/Fax

Practice location:
  • Phone: 601-947-3161
  • Fax:
Mailing address:
  • Phone: 318-330-7000
  • Fax: 318-330-7591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number321305
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27264
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC4192
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: