MEDICARE: MRS. JACQUELINE MARIE STURM PA

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1790342681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE MARIE STURM PA

Provider Business Mailing Address
First Line	:	411 S PRIEUR ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2239
Country	:	US
Telephone Number	:	504-556-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 S PRIEUR ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2239
Country	:	US
Telephone Number	:	504-556-7585
Fax Number	:

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

Provider Enumeration Date	:	05/26/2019
Last Update Date	:	08/01/2025

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