Organization
DJ ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MARIE JOLLY CRNA (CERTIFIED NURSE ANESTHETIST)
(504) 237-2249
Entity
Organization
Contact information
Practice address
1330 SERE ST, NEW ORLEANS, LA 70122-1426
(504) 237-2249
(504) 286-0604
Mailing address
1330 SERE ST, NEW ORLEANS, LA 70122-1426
(504) 237-2249
(504) 286-0604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
RN047457
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1686255
—
LA
Enumeration date
08/23/2006
Last updated
09/20/2007
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