Individual
JESSICA HEBERT MOULEDOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-5200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
46059
TN
2080P0202X
Pediatric Cardiology Physician
Primary
MD.202857
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00421047
—
MS
05
—
1889407
—
LA
Enumeration date
01/12/2007
Last updated
11/17/2014
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