Individual
TIFFANY C JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 897-5907
(504) 897-5908
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.058491
IL
207P00000X
Emergency Medicine Physician
Primary
MD.207723
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08829062
—
MS
05
—
2402650
—
LA
Enumeration date
07/21/2010
Last updated
11/17/2015
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