Dwayne Oliver Jeter Jr, | |
211 4th St, Alexandria, LA 71301-8421 | |
(318) 769-3000 | |
Not Available |
Full Name | Dwayne Oliver Jeter Jr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 211 4th St, Alexandria, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720483787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP08020 (Louisiana) | Primary |
Entity Name | Morehouse General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790966638 PECOS PAC ID: 4284528274 Enrollment ID: O20040211000117 |
Entity Name | Ed Physicians Of West Louisiana, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255460143 PECOS PAC ID: 4880795665 Enrollment ID: O20070724000101 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20181106002747 |
Mailing Address | Practice Location Address |
---|---|
Dwayne Oliver Jeter Jr, 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 769-3000 | Dwayne Oliver Jeter Jr, 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 769-3000 |
Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-545-0655 | |
Melanie Leonard Taylor, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Macarthur Dr, Alexandria, LA 71301 Phone: 318-448-6800 | |
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr # 250, Alexandria, LA 71301 Phone: 318-473-4613 | |
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Versailles Blvd, Alexandria, LA 71303 Phone: 318-201-5307 Fax: 318-484-4800 | |
Mrs. Heather Renee Rachal, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Brevard Ct Ste D, Alexandria, LA 71303 Phone: 318-777-6887 | |
Tracie Givens, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3704 North Blvd Ste D, Alexandria, LA 71301 Phone: 318-528-3200 Fax: 318-528-3201 | |
Mrs. Laura Elizabeth Williamson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Medical Center Dr Ste 100, Alexandria, LA 71301 Phone: 318-487-1358 Fax: 318-487-9584 |