Provider Demographics
NPI:1275660631
Name:KRAKER, JESSICA B (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:B
Last Name:KRAKER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:131 S ROBERTSON ST
Mailing Address - Street 2:SUITE 1340
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2807
Mailing Address - Country:US
Mailing Address - Phone:504-988-4564
Mailing Address - Fax:504-988-9191
Practice Address - Street 1:131 S ROBERTSON ST
Practice Address - Street 2:SUITE 1340
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2807
Practice Address - Country:US
Practice Address - Phone:504-988-4564
Practice Address - Fax:504-988-9191
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2015-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA2071932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD186549YBDBMedicare PIN