Individual
MS. JENNY R SALEEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4747
(504) 842-1242
Mailing address
2670 MILLS PARK DR, ROCK HILL, SC 29732-8599
(803) 985-3939
(803) 985-3929
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1344
SC
363AM0700X
Medical Physician Assistant
Primary
PA.200601.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06083530
—
MS
05
—
2334191
—
LA
Enumeration date
08/06/2009
Last updated
02/04/2015
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