Individual
DR. JESSICA RENEE GAUTREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 894-6783
(504) 894-4150
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 894-9458
(504) 894-4150
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD.202892
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005576
—
LA
Enumeration date
12/28/2007
Last updated
06/18/2012
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