Individual
JEANNE S TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP01974
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN031181
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07850019
—
MS
05
—
1038865
—
LA
Enumeration date
03/11/2008
Last updated
05/16/2008
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