Individual
VERNILYN NOCON JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST, SUITE 301, NEW ORLEANS, LA 70115-3500
(504) 897-8118
(504) 897-8466
Mailing address
3600 PRYTANIA ST, SUITE 35, NEW ORLEANS, LA 70115-3628
(504) 897-7197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203174
LA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD 203174
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078182
—
LA
Enumeration date
05/23/2007
Last updated
03/06/2019
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