Healthcare Provider Details

I. General information

NPI: 1184551293
Provider Name (Legal Business Name): JESSICA FERLIC PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 EARHART BLVD
NEW ORLEANS LA
70125-1955
US

IV. Provider business mailing address

2442 ONZAGA ST
NEW ORLEANS LA
70119-2430
US

V. Phone/Fax

Practice location:
  • Phone: 504-522-4475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPLC11185
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: