Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 320910 | LA |
Y | 207RP1001X | Pulmonary Disease | 320910 | LA |
NPI | 1083058382 |
---|---|
Provider Name | Dr. Jennifer Elizabeth Hansen |
First Address | New Orleans, LA 70121-2429 |
Second Address | Slidell, LA 70461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 03/04/2020 |