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NPI Code Detail

MEDICARE: CARISA JORDAN-LOUD

MEDICARE: CARISA JORDAN-LOUD
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1376116822
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARISA JORDAN-LOUD
Provider Business Mailing Address
First Line : 222 RUE DE JEAN
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3388
Country : US
Telephone Number : 337-456-7880
Fax Number : 337-456-7882
Provider Business Practice Location Address
First Line : 222 RUE DE JEAN
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3388
Country : US
Telephone Number : 337-456-7880
Fax Number : 337-456-7882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2021
Last Update Date : 03/27/2026

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Directions to “ CARISA JORDAN-LOUD ” Practice Location

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