Individual
JESSICA L DAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4023
(504) 842-2675
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
259744
NC
208600000X
Surgery Physician
Primary
329230
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2015
Last updated
12/01/2021
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