Provider Demographics
NPI:1043306285
Name:MCGEE, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 LAKE FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2606
Mailing Address - Country:US
Mailing Address - Phone:504-246-1452
Mailing Address - Fax:504-309-4292
Practice Address - Street 1:3600 PRYTANIA ST
Practice Address - Street 2:ST 35
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3628
Practice Address - Country:US
Practice Address - Phone:504-897-8412
Practice Address - Fax:504-891-9862
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025299204F00000X
LAMD.025299208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1579921Medicaid
LA4C399Medicare PIN