Provider Demographics
NPI:1144090879
Name:MAYER, JAYNE JUDICE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JAYNE
Middle Name:JUDICE
Last Name:MAYER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 DOUCET RD STE 233
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3490
Mailing Address - Country:US
Mailing Address - Phone:337-362-8401
Mailing Address - Fax:337-366-8840
Practice Address - Street 1:345 DOUCET RD STE 233
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3490
Practice Address - Country:US
Practice Address - Phone:337-362-8401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN143274163W00000X
LA234113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse