Healthcare Provider Details

I. General information

NPI: 1609479831
Provider Name (Legal Business Name): MS. JEANETTE LOUISE SESSION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 ALIDA ST
HAMMOND LA
70403-9419
US

IV. Provider business mailing address

PO BOX 19783
NEW ORLEANS LA
70179-0783
US

V. Phone/Fax

Practice location:
  • Phone: 504-975-8803
  • Fax:
Mailing address:
  • Phone: 504-810-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: