Juanita Blakely
Health Service
4633 Willow St
New Orleans
, Louisiana 70115-6940
Juanita Blakely
Health Service
4633 Willow St
New Orleans
, Louisiana 70115-6940
(504) 272-1213
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Juanita Blakely
- 4633 Willow St
- New Orleans, LA
- Zip : 70115-6940
- Phone : (504) 272-1213
Second Address
- Juanita Blakely
- 4633 Willow St
- New Orleans, LA
- Zip : 70115-6940
- Phone : (504) 272-1213
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service |
National Provider Identifier
| NPI | 1316543234 |
|---|---|
| Provider Name | Juanita Blakely |
| First Address | New Orleans, LA 70115-6940 |
| Second Address | New Orleans, LA 70115-6940 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2020 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.