Individual
JENNIFER LYNN DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST STE 301, NEW ORLEANS, LA 70115-3535
(504) 897-8118
(504) 897-8466
Mailing address
3600 PRYTANIA ST STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-7197
(504) 349-5311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306973
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368117
—
LA
Enumeration date
05/22/2014
Last updated
03/06/2019
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