Individual
GAIL JONES PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9954 LAKE FOREST BLVD STE 5, NEW ORLEANS, LA 70127-5498
(504) 237-2189
(504) 241-1649
Mailing address
7730 WINDWARD CT, NEW ORLEANS, LA 70128-1339
(504) 237-2189
(504) 241-1649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
246RM2200X
Medical Laboratory Technician
—
LA
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
LA
Other
Enumeration date
10/25/2019
Last updated
10/04/2024
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