Amy Blake, FNP-C | |
340 Webb Smith Dr, Colfax, LA 71417-1910 | |
(318) 627-5021 | |
Not Available |
Full Name | Amy Blake |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 340 Webb Smith Dr, Colfax, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063838464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP07742 (Louisiana) | Primary |
Entity Name | C H Wilkinson Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793 |
Entity Name | Mercy Medical Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063945434 PECOS PAC ID: 1557639655 Enrollment ID: O20170614000398 |
Mailing Address | Practice Location Address |
---|---|
Amy Blake, FNP-C Po Box 1288, Winnfield, LA 71483-1288 Ph: (318) 627-5021 | Amy Blake, FNP-C 340 Webb Smith Dr, Colfax, LA 71417-1910 Ph: (318) 627-5021 |
Summer Craig Guidry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Webb Smith Dr, Colfax, LA 71417 Phone: 318-627-5021 Fax: 318-627-5999 | |
Wendy Wilkinson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Webb Smith Dr, Colfax, LA 71417 Phone: 318-627-5021 | |
Mrs. Kaycie Posey, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 366 Webb Smith Dr, Colfax, LA 71417 Phone: 337-991-9276 Fax: 318-277-9327 |