Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2014008189 | MO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2014008189 | MO |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 306558 | LA |
NPI | 1245558162 |
---|---|
Provider Name | Jennifer Katherine Durst |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70115-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2010 |
Last Update Date | 29/08/2017 |