Individual
MRS. TIFFANY EDE WOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305444
LA
Other
Enumeration date
06/06/2017
Last updated
01/08/2021
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