Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jefferson Street Clinic LLC

Organization Family Medicine Physician · NPI 1477289817

Jefferson Street Clinic LLC is a Family Medicine Physician in Lafayette, Louisiana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

618 Jefferson Blvd
Lafayette, LA 70501-7206
Phone: (240) 481-7672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1477289817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beryl Yufenyuy — Nurse Practitioner · (240) 481-7672
Other names Jefferson Street Clinic; Jefferson Street Clinic
NPI enumeratedJuly 27, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address618 Jefferson Blvd, Lafayette, LA 70501-7206

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