Individual
DR. JEAN ANN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6000 WESTBANK EXPY, MARRERO, LA 70072-2802
(504) 827-1722
(504) 827-1724
Mailing address
6000 WESTBANK EXPY, MARRERO, LA 70072-2802
(504) 827-1722
(504) 827-1724
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
08422R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000077108
—
AL
05
—
1981141
—
LA
Enumeration date
05/17/2006
Last updated
12/27/2016
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