Individual
JILL AILEEN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 JUDGE TANNER BLVD., #302, COVINGTON, LA 70433-7506
(985) 809-5800
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203185
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09653328
—
MS
05
—
1005444
—
LA
Enumeration date
11/03/2007
Last updated
12/06/2010
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