Provider Demographics
NPI:1093819518
Name:JONES, MONIQUE MCCONDUIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:MCCONDUIT
Last Name:JONES
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:P.O. BOX 4148
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70178-4148
Mailing Address - Country:US
Mailing Address - Phone:504-482-2080
Mailing Address - Fax:504-483-6016
Practice Address - Street 1:1030 LESSEPS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-4736
Practice Address - Country:US
Practice Address - Phone:504-941-6041
Practice Address - Fax:504-941-9991
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200173208000000X
TXM7311208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1061271Medicaid