Individual
JULIA JURISICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN088623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140643
—
LA
Enumeration date
07/28/2006
Last updated
03/05/2010
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