Individual
DESTINEY MUNDY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3172
Mailing address
113 PRIMROSE LN, WESTWEGO, LA 70094-5730
(504) 444-9402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10139
LA
Other
Enumeration date
07/13/2018
Last updated
04/13/2026
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