Provider Demographics
NPI:1467252981
Name:ELENWA, JANE (NP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:ELENWA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3201 GENERAL DEGAULLE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6756
Mailing Address - Country:US
Mailing Address - Phone:504-354-2103
Mailing Address - Fax:504-354-2283
Practice Address - Street 1:3201 GENERAL DEGAULLE DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6756
Practice Address - Country:US
Practice Address - Phone:504-354-2103
Practice Address - Fax:504-354-2283
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA240006363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health