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Contact Information

JACQUELYN D BRADY, PA-C
200 HENRY CLAY AVE
NEW ORLEANS, LA70118-5720
 Phone: 504-899-9511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACQUELYN D BRADY · (Female)

NPI Number 1306404595
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/03/2019
Last updated 01/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 312687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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