Individual
JASON RYAN LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08658
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06882378
—
MS
05
—
2423690
—
LA
Enumeration date
04/04/2016
Last updated
10/31/2016
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