Individual
JACK JOSEPH ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4133 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-1434
(318) 282-7151
Mailing address
4133 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-1434
(318) 282-7151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
713873
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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