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NPI Code Detail

MEDICARE: JEFFREY J. ANDRY SR. MD

MEDICARE: JEFFREY J. ANDRY SR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician019004LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841267382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY J. ANDRY SR. MD
Provider Business Mailing Address
First Line : 17240 HEARTBEAT CIR
Second Line :
City : COVINGTON
State : LA
Zip : 70435-5757
Country : US
Telephone Number : 985-898-4001
Fax Number :
Provider Business Practice Location Address
First Line : 17240 HEARTBEAT CIR
Second Line :
City : COVINGTON
State : LA
Zip : 70435-5757
Country : US
Telephone Number : 985-898-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 01/13/2026

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