Individual
DR. ELLIOT MICHAEL JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4070
(504) 842-3124
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101235183
VA
208600000X
Surgery Physician
Primary
338699
LA
2086S0102X
Surgical Critical Care Physician
D0068876
MD
2086S0127X
Trauma Surgery Physician
D0068876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417757600
—
MD
Enumeration date
02/14/2006
Last updated
09/22/2023
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