Individual
JILL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8120 MAIN ST STE 304, HOUMA, LA 70360-3403
(985) 850-6244
(985) 850-6045
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
305069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362178
—
LA
Enumeration date
04/15/2014
Last updated
07/11/2017
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