Healthcare Provider Details

I. General information

NPI: 1699421784
Provider Name (Legal Business Name): KELSEY SHAFFER DUPONT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY ANN SHAFFER

II. Dates (important events)

Enumeration Date: 02/27/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 GENERAL DEGAULLE DR
NEW ORLEANS LA
70114-6437
US

IV. Provider business mailing address

2801 GENERAL DEGAULLE DR
NEW ORLEANS LA
70114-6437
US

V. Phone/Fax

Practice location:
  • Phone: 504-362-8930
  • Fax: 504-362-8486
Mailing address:
  • Phone: 504-362-8930
  • Fax: 504-362-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number224316
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: