Gina Theriot Jory, NP | |
5247 Didesse Dr, Baton Rouge, LA 70808-9153 | |
(225) 765-3076 | |
(225) 765-3090 |
Full Name | Gina Theriot Jory |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 5247 Didesse Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104149905 | NPI | - | NPPES |
2113101 | Medicaid | LA | |
P00858048 | Other | LA | RAIL ROAD MEDICARE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP06049 (Louisiana) | Primary |
363L00000X | Nurse Practitioner | RN 098182 (Louisiana) | Secondary |
Entity Name | Cenla Family Medicine Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397542 PECOS PAC ID: 7517010705 Enrollment ID: O20090805000749 |
Entity Name | Pelican State Outpatient Center - Caro Clinic L. L. C. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467507913 PECOS PAC ID: 8022051234 Enrollment ID: O20100628000040 |
Mailing Address | Practice Location Address |
---|---|
Gina Theriot Jory, NP 5247 Didesse Dr, Baton Rouge, LA 70808-9153 Ph: (225) 765-3076 | Gina Theriot Jory, NP 5247 Didesse Dr, Baton Rouge, LA 70808-9153 Ph: (225) 765-3076 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 | |
Celeste Buuck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 | |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 | |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 | |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 | |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |