Individual
JEANENNE C BRIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3617 HWY 70 SOUTH, PIERRE PART, LA 70339
(985) 252-6211
(985) 252-0006
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(337) 355-2314
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201850
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07834
PRESCRIPTIVE AUTHORITY NUMBER
LA
05
—
1078344
—
LA
Enumeration date
05/24/2007
Last updated
06/19/2017
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