Christin Nikki Powell, APRN | |
1001 W Madison Ave, Bastrop, LA 71220-4331 | |
(318) 283-8887 | |
Not Available |
Full Name | Christin Nikki Powell |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1001 W Madison Ave, Bastrop, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548426588 | NPI | - | NPPES |
1177393 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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363LP0200X | Nurse Practitioner - Pediatrics | AP05528 (Louisiana) | Primary |
Entity Name | Morehouse Community Medical Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063 |
Mailing Address | Practice Location Address |
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Christin Nikki Powell, APRN Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887 | Christin Nikki Powell, APRN 1001 W Madison Ave, Bastrop, LA 71220-4331 Ph: (318) 283-8887 |
William Kirk Johnson, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 N Franklin St, Bastrop, LA 71220 Phone: 318-283-8887 | |
Mrs. Tiffany Tolliver-battle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-283-3920 Fax: 318-239-8920 | |
Sharon Mayree Colton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 E Madison Ave, Bastrop, LA 71220 Phone: 318-801-3640 | |
Mrs. Deirdre Kivett Simmons, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 S Vine St, Bastrop, LA 71220 Phone: 318-283-3970 | |
Dr. Danita Renae Potter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 518 Durham St, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559 | |
Stacey Smith Ogden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 N. Franklin Street, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559 | |
Mrs. Simone Trahan Mcmillon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 North Franklin Street, Bastrop, LA 71221 Phone: 318-283-8887 |