Individual
DR. STACY DENISE JONES-PEDESCLEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16220 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4248
(225) 744-1111
(225) 744-4919
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.202091
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091782
—
LA
Enumeration date
02/16/2008
Last updated
07/12/2023
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