Individual
JULIE RADCLIFFE JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4429 CLARA ST STE 400, NEW ORLEANS, LA 70115
(504) 842-9616
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
308631
LA
390200000X
Student in an Organized Health Care Education/Training Program
MD.35061
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07679230
—
MS
Enumeration date
04/03/2014
Last updated
08/14/2018
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