Individual
MRS. JENNIFER LANE GILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4429 CLARA STREET, NEW ORLEANS, LA 70115
(504) 842-5300
(504) 779-5528
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(504) 779-5528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06960
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05431857
—
MS
05
—
2323849
—
LA
Enumeration date
07/25/2012
Last updated
04/28/2014
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