Jefferson, Patrice Parker

Jefferson, Patrice Parker is an individual health care provider with primary practice located at 3330 Canal St , New Orleans LA 70119-6206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jefferson, Patrice Parker can be contacted via phone (504) 827-2701.

Contact Information

Primary practice address
3330 Canal St New Orleans LA 70119-6206
Fax: (504) 827-2714
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9377 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X 9377 Louisiana

Profile Details

NPI number 1346525367
LBN Legal business name Jefferson, Patrice Parker
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2011
Last updated Dec 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346525367 NPPES
Louisiana MEDICAID 1346525367

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