Juracovich, Janet Ruth

Juracovich, Janet Ruth is an individual health care provider with primary practice located at 121 Rue Louis Xiv Bldg 4 Suite B, Lafayette LA 70508-5738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Juracovich, Janet Ruth can be contacted via phone (337) 984-9355.

Contact Information

Primary practice address
121 Rue Louis Xiv Bldg 4 Suite B Lafayette LA 70508-5738
Phone: (337) 984-9355
Fax: (337) 984-9592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN063196-AP06340 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X RN063196 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP06340 Louisiana

Profile Details

NPI number 1124327630
LBN Legal business name Juracovich, Janet Ruth
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated May 13th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124327630 NPPES
Louisiana MEDICAID 2196391

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