Individual
JOANNA SUE MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 AVENUE D, MARRERO, LA 70072-3127
(504) 347-5435
(504) 349-2119
Mailing address
1255 AVENUE D, MARRERO, LA 70072-3127
(504) 347-5435
(504) 349-2119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
03144203165
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1546232
—
LA
Enumeration date
10/22/2007
Last updated
10/22/2007
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