Individual
JILL M PREJEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3530 HOUMA BLVD STE 300, METAIRIE, LA 70006-4203
(504) 264-5142
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(504) 264-5142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.207374
LA
208M00000X
Hospitalist Physician
MD207374
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06388846
—
MS
05
—
1170101
—
LA
Enumeration date
06/13/2008
Last updated
03/16/2020
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