Individual
DR. JENNIFER O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1629 WESTBANK EXPY STE A, HARVEY, LA 70058-4364
(504) 582-0715
(504) 582-0716
Mailing address
2712 ESPLANADE AVE, NEW ORLEANS, LA 70119-3333
(601) 955-3614
(504) 264-9428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19346
MS
208000000X
Pediatrics Physician
Primary
305136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03232771
—
MS
05
—
2458183
—
LA
Enumeration date
11/01/2006
Last updated
11/12/2025
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