Provider Demographics
NPI:1609479831
Name:SESSION, JEANETTE LOUISE
Entity Type:Individual
Prefix:MS
First Name:JEANETTE
Middle Name:LOUISE
Last Name:SESSION
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:PO BOX 19783
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-0783
Mailing Address - Country:US
Mailing Address - Phone:504-810-3630
Mailing Address - Fax:
Practice Address - Street 1:109 ALIDA ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-9419
Practice Address - Country:US
Practice Address - Phone:504-975-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant