Individual provider Active NPI

Valerie Perrault Jackson, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1164925426
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09737 Issued in LA
Practice address
110 Travis St Ste 100
Lafayette, LA 70503-2452
Phone
(337) 469-3301
Fax
(337) 469-3310
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN141287 LA
Family Nurse Practitioner 363LF0000X AP09737 LA Primary

Addresses

Primary practice location

110 Travis St Ste 100
Lafayette, LA 70503-2452

Mailing address

1003 Emancipation Blvd
Broussard, LA 70518-7450
Phone (225) 718-5319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025000165 LA Practitioner - Nurse Practitioner 5496008229 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN141287LAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Family Physicians, Inc., a.P.M.C. CurrentSince Oct 1, 2023 Accepting new patients
Women'S Health and Treatment Center of Acadiana, LLC CurrentSince Jun 13, 2018 Accepting new patients
Anzalone & Joseph ENT and Facial Aesthetics CurrentSince Jun 5, 2026 Accepting new patients
Acadian Ear Nose Throat & Facial Plastic Surgery (Apmc) PastSince Jun 15, 2025 Accepting new patients

Locations

427 Heymann Blvd
Lafayette, LA 70503
Phone (318) 234-1111

202 Rue Promenade
Lafayette, LA 70508
Phone (337) 806-9161

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1164925426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EMANCIPATION BLVD",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187450",
            "telephone_number": "225-718-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TRAVIS ST STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032452",
            "telephone_number": "337-469-3301",
            "fax_number": "337-469-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VALERIE",
        "middle_name": "PERRAULT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "LA",
            "license": "RN141287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.