Provider Demographics
NPI:1346899366
Name:JAFFER, FATIMA ZAHRA
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:ZAHRA
Last Name:JAFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 READ BLVD # 310
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3144
Mailing Address - Country:US
Mailing Address - Phone:504-245-2440
Mailing Address - Fax:504-245-4284
Practice Address - Street 1:5646 READ BLVD # 310
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3144
Practice Address - Country:US
Practice Address - Phone:504-245-2440
Practice Address - Fax:504-245-4284
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator