MEDICARE: JANE ELENWA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	240006	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1195779	TX

General Provider Information

NPI Number	:	1467252981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ELENWA NP

Provider Business Mailing Address
First Line	:	3201 GENERAL DEGAULLE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6756
Country	:	US
Telephone Number	:	504-354-2103
Fax Number	:	504-354-2283

Provider Business Practice Location Address
First Line	:	3201 GENERAL DEGAULLE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6756
Country	:	US
Telephone Number	:	504-354-2103
Fax Number	:	504-354-2283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	07/17/2025

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