Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP07786 | LA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP07786 | LA |
NPI | 1003216813 |
---|---|
Provider Name | Mrs. Hanaiya Denise Pritchett-Jones |
First Address | New Orleans, LA 70126-2019 |
Second Address | Kenner, LA 70065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2014 |
Last Update Date | 05/06/2018 |