Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Pediatric Clinic

Organization Pediatrics Physician · NPI 1972642197

Jefferson Pediatric Clinic is a Pediatrics Physician in Marrero, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

1111 Medical Center Blvd Ste N-813
Marrero, LA 70072-3151
Phone: (504) 349-6813
Fax: (504) 349-6832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 06128R (LA)

Record details

NPI number1972642197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scotty Oubre — Office Assistant · (504) 349-6813
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJune 17, 2008
Mailing address1111 Medical Center Blvd, Suite N-813, Marrero, LA 70072-3151

Other providers in Marrero