Provider Demographics
NPI:1033496161
Name:ORGAIN, JESLYN HOYCHICK (APRN-FAMILY)
Entity Type:Individual
Prefix:
First Name:JESLYN
Middle Name:HOYCHICK
Last Name:ORGAIN
Suffix:
Gender:F
Credentials:APRN-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-4608
Mailing Address - Country:US
Mailing Address - Phone:337-457-3114
Mailing Address - Fax:337-457-0779
Practice Address - Street 1:102 S 2ND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-4608
Practice Address - Country:US
Practice Address - Phone:337-457-3114
Practice Address - Fax:337-457-0779
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP06697OtherAPRN LICENSE