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NPI Code Detail

MEDICARE: JACQUELINE HASTING FRYE APRN, FNP-C

MEDICARE: JACQUELINE HASTING FRYE APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAP09388LA

General Provider Information

NPI Number : 1396254447
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE HASTING FRYE APRN, FNP-C
Provider Business Mailing Address
First Line : 120 RUE LOUIS XIV
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5739
Country : US
Telephone Number : 337-233-6665
Fax Number : 337-703-0683
Provider Business Practice Location Address
First Line : 120 RUE LOUIS XIV
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5739
Country : US
Telephone Number : 337-233-6665
Fax Number : 337-703-0683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2017
Last Update Date : 12/09/2025

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Directions to “ JACQUELINE HASTING FRYE APRN, FNP-C” Practice Location

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