Provider Demographics
NPI:1114658002
Name:LEAVEY, JAMIE HEMPHILL
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:HEMPHILL
Last Name:LEAVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:HEMPHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2475 CANAL ST STE 106
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6549
Mailing Address - Country:US
Mailing Address - Phone:504-962-7020
Mailing Address - Fax:
Practice Address - Street 1:2475 CANAL ST STE 106
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6549
Practice Address - Country:US
Practice Address - Phone:504-962-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program