Individual
JESSICA LYNN ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, OCHSNER MEDICAL CENTER, PEDIATRIC SURGERY, NEW ORLEANS, LA 70121
(504) 842-3907
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
244454
NY
2086S0120X
Pediatric Surgery Physician
Primary
MD.207225
LA
2086S0120X
Pediatric Surgery Physician
MD434879
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08482329
—
MS
05
—
2373854
—
LA
Enumeration date
06/06/2008
Last updated
12/17/2014
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