MEDICARE: DARLENE NGO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1902638844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE NGO

Provider Business Mailing Address
First Line	:	1430 TULANE AVE # 8055
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	469-487-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	4502 HIGHWAY 951
Second Line	:
City	:	JACKSON
State	:	LA
Zip	:	70748-5103
Country	:	US
Telephone Number	:	225-634-0216
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	07/24/2025

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Directions to “ DARLENE NGO ” Practice Location

Language	Start Address	Practice Location

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