Clay Dean Bryant, | |
401 E Vaughn Ave, Ruston, LA 71270-5950 | |
(318) 254-2100 | |
Not Available |
Full Name | Clay Dean Bryant |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 401 E Vaughn Ave, Ruston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730801754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 227362 (Louisiana) | Primary |
Entity Name | Homer Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609066646 PECOS PAC ID: 1456322692 Enrollment ID: O20040803000291 |
Entity Name | Northern Louisiana Emergency Physicians, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
Entity Name | Northern Louisiana Emergency Physicians, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995847 PECOS PAC ID: 9638246846 Enrollment ID: O20090903000029 |
Entity Name | Northeast Louisiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407637671 PECOS PAC ID: 2365885944 Enrollment ID: O20240212000148 |
Mailing Address | Practice Location Address |
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Clay Dean Bryant, 176 Highway 148, Ruston, LA 71270-8436 Ph: () - | Clay Dean Bryant, 401 E Vaughn Ave, Ruston, LA 71270-5950 Ph: (318) 254-2100 |
Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500 | |
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866 | |
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 | |
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040 | |
Kambri Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340 | |
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978 | |
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116 |