Healthcare Provider Details

I. General information

NPI: 1700760956
Provider Name (Legal Business Name): JESSICA T PARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 READ BLVD
NEW ORLEANS LA
70127-3106
US

IV. Provider business mailing address

5620 READ BLVD
NEW ORLEANS LA
70127-3106
US

V. Phone/Fax

Practice location:
  • Phone: 504-592-6400
  • Fax:
Mailing address:
  • Phone: 504-592-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number213513
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: