MEDICARE: JARED BRABHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN158835	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	234094	LA

General Provider Information

NPI Number	:	1134763576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED BRABHAM

Provider Business Mailing Address
First Line	:	4105 KIRKMAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-4603
Country	:	US
Telephone Number	:	337-475-3100
Fax Number	:	337-475-3105

Provider Business Practice Location Address
First Line	:	2651 E NAPOLEON ST
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70663-3707
Country	:	US
Telephone Number	:	337-625-6750
Fax Number	:	337-625-6752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2019
Last Update Date	:	11/10/2025

Similar Medicare Providers

1942290200 — MRS. KARA LYN WARSHAW APRN,BC
Practice Location Address:

2651 E NAPOLEON ST
SULPHUR, LA
70663-3707

Practice Phone: 337-625-6750
Practice Fax:

1982620605 — MISS LULA BELL THURMAN DME SUPPLIER
Practice Location Address:

2631 E NAPOLEON ST
SULPHUR, LA
70663-3707

Practice Phone: 337-625-1991
Practice Fax: 337-625-1914

1831856301 — GENOA HEALTHCARE LLC
Practice Location Address:

2651 E NAPOLEON ST RM P
SULPHUR, LA
70663-3707

Practice Phone: 337-476-2641
Practice Fax: 337-513-0313

1255108650 — CAITLYN MARIE KUDRECKI PLPC
Practice Location Address:

2651 E NAPOLEON ST
SULPHUR, LA
70663-3707

Practice Phone: 337-625-6750
Practice Fax:

1205681285 — FELICIA HARRIS LCSW
Practice Location Address:

2651 E NAPOLEON ST
SULPHUR, LA
70663-3707

Practice Phone: 337-625-6750
Practice Fax: 337-475-3105

1689438764 — MARY LYN DORE APRN
Practice Location Address:

600 CYPRESS ST
SULPHUR, LA
70663-5052

Practice Phone: 337-527-6371
Practice Fax:

Directions to “ JARED BRABHAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.