Healthcare Provider Details

I. General information

NPI: 1942887732
Provider Name (Legal Business Name): CANDYCE WEEKS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

2009 EISENHOWER AVE
METAIRIE LA
70003-4957
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-9511
  • Fax:
Mailing address:
  • Phone: 219-201-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number345548
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number345548
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number345548
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: