Individual
DR. JESSICA MARIE BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1542 TULANE AVE., LSUHSC DEPT. OF PSYCHIATRY ROOM 233, NEW ORLEANS, LA 70112-0000
(504) 568-7912
Mailing address
1542 TULANE AVE., LSUHSC DEPT OF PSYCHIATRY ROOM 233, NEW ORLEANS, LA 70112
(504) 568-7912
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
UO2160
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
09/08/2009
Last updated
03/29/2010
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