Organization
WOUND CARE NP OF SOUTHEAST LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MELTON DUCOTE (FNP-C)
(504) 897-7732
Entity
Organization
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-7732
Mailing address
70380 HIGHWAY 21, SUITE 2 #242, COVINGTON, LA 70433-3420
(504) 236-3751
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP09197
LA
Other
Enumeration date
05/23/2017
Last updated
03/14/2018
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