Individual
MR. JONATHAN MICHAEL FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1514 JEFFESON HWY, NEW ORLEANS, LA 70121
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP09079
LA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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