Individual
JESSICA NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2622 PALMYRA ST, NEW ORLEANS, LA 70119-6430
(601) 916-5415
Mailing address
2622 PALMYRA ST, NEW ORLEANS, LA 70119-6430
(601) 916-5415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902821
MS
363L00000X
Nurse Practitioner
Primary
AP09990
LA
363L00000X
Nurse Practitioner
APRN11020034
FL
Other
Enumeration date
07/24/2018
Last updated
01/20/2023
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