Individual
MARISSA ISABEL HENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
336933
LA
Other
Enumeration date
04/02/2020
Last updated
08/15/2023
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