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Jessie Courville

NPI 1619885514 · on the registry since 2026

Practice

Address
500 Broad St # 213
Lake Charles, LA 70601
Phone
(337) 429-5105
Fax
(337) 888-9853
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana