Individual
JAMIE BOTHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1030 LESSEPS ST, NEW ORLEANS, LA 70117-4736
(504) 941-6041
Mailing address
6335 CARLSON DR, NEW ORLEANS, LA 70122-2803
(985) 768-6036
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
232077
LA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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