Henrietta Lee Chambers, NP | |
217 Bourg St, Jeanerette, LA 70544-3503 | |
(337) 276-7002 | |
(337) 276-3700 |
Full Name | Henrietta Lee Chambers |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 217 Bourg St, Jeanerette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255377313 | NPI | - | NPPES |
1471101 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 073547 (Louisiana) | Primary |
363L00000X | Nurse Practitioner | 04514 (Louisiana) | Primary |
Entity Name | Hospital Service District No. 1 Of Iberia Parish |
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Entity Type | Part A Provider - Rural Health Clinic |
Entity Identifiers | NPI Number: 1518935220 PECOS PAC ID: 4688659188 Enrollment ID: O20071203000246 |
Entity Name | Henrietta Lee Chambers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245074236 PECOS PAC ID: 4284175233 Enrollment ID: O20240918002495 |
Mailing Address | Practice Location Address |
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Henrietta Lee Chambers, NP 307 Windchase Dr, Lafayette, LA 70508 Ph: () - | Henrietta Lee Chambers, NP 217 Bourg St, Jeanerette, LA 70544-3503 Ph: (337) 276-7002 |
Kayci Racca Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Bourg St, Jeanerette, LA 70544 Phone: 337-276-7002 | |
Bradley Dickey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1409 Church St, Jeanerette, LA 70544 Phone: 225-747-0343 | |
Katie Manale, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7307 E Old Spanish Trl, Jeanerette, LA 70544 Phone: 877-878-3289 |