Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD015824 | LA |
N | 207N00000X | Dermatologist | MD015824 | LA |
NPI | 1164411161 |
---|---|
Provider Name | Jessica Coller Ochsner |
First Address | Metairie, LA 70001-5561 |
Second Address | Metairie, LA 70001-5561 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 05/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1342238 | (05) | LA |
D79712 | (02) |