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Individual

JENNIFER MAY ARCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-4747
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
302338
LA
207R00000X
Internal Medicine Physician
LL33681
SC
2084P0800X
Psychiatry Physician
302338
LA
2084P0800X
Psychiatry Physician
LL33681
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07600823
MS
05
2431331
LA
Enumeration date
06/16/2011
Last updated
01/10/2018
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