Provider Demographics
NPI:1205094687
Name:SONNIER, JESSICA NICOLE (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:NICOLE
Last Name:SONNIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:NICOLE
Other - Last Name:CHAUDARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4918 E WESTRIDGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-6762
Mailing Address - Country:US
Mailing Address - Phone:337-478-3182
Mailing Address - Fax:337-478-3182
Practice Address - Street 1:4918 E WESTRIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-6762
Practice Address - Country:US
Practice Address - Phone:337-478-3182
Practice Address - Fax:337-478-3182
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine