Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 213922 | LA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 213922 | LA |
NPI | 1386115772 |
---|---|
Provider Name | Jordyn Breana Jamieson |
First Address | New Orleans, LA 70115-3678 |
Second Address | New Orleans, LA 70115-3678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2018 |
Last Update Date | 15/05/2021 |