Individual
JENNIFER N BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 842-7508
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.206948
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03801243
—
LA
05
—
2372971
—
LA
Enumeration date
05/16/2011
Last updated
12/02/2014
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