Healthcare Provider Details

I. General information

NPI: 1922271188
Provider Name (Legal Business Name): JENNIFER LYNNE MEYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD FL 6
METAIRIE LA
70006-2970
US

IV. Provider business mailing address

804 HENRY CLAY AVE
NEW ORLEANS LA
70118-5822
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4331
  • Fax: 504-503-4341
Mailing address:
  • Phone: 206-226-2380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number203642
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.203642
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: