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Individual

DR. TENILLE OTTLEY-SHARPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1532 ROBERT E. LEE BLVD., NEW ORLEANS, LA 70122
(504) 846-9646
(504) 846-9647
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125064306
IL
207Q00000X
Family Medicine Physician
Primary
312000
LA
207Q00000X
Family Medicine Physician
61985
MN

Other

Enumeration date
01/09/2014
Last updated
06/25/2019
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