Individual
JACQUELINE BROCKHOEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 SEVERN AVE, METAIRIE, LA 70002-5932
(504) 832-4200
(504) 378-5121
Mailing address
2525 SEVERN AVE, METAIRIE, LA 70002-5932
(504) 832-4200
(504) 378-5121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN059884
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN059884 AP04027
LA
Other
Enumeration date
03/09/2007
Last updated
08/29/2007
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