| Jacob Robert Rickoll, NP | |
|
3637 Canal St Ste 100, New Orleans, LA 70119-6110 | |
| (504) 613-0315 | |
| (888) 498-4941 |
| Full Name | Jacob Robert Rickoll |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3637 Canal St Ste 100, New Orleans, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225665417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 214020 (Louisiana) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 214020 (Louisiana) | Secondary |
| Entity Name | No/aids Task Force |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942403662 PECOS PAC ID: 2163514100 Enrollment ID: O20070822001320 |
| Entity Name | Integrity Direct Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851015127 PECOS PAC ID: 4183099294 Enrollment ID: O20230403001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Robert Rickoll, NP 3637 Canal St Ste 100, New Orleans, LA 70119-6110 Ph: (504) 613-0315 | Jacob Robert Rickoll, NP 3637 Canal St Ste 100, New Orleans, LA 70119-6110 Ph: (504) 613-0315 |
Tammy Ann Francipane, RNC CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Elaine Alleman, NP, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335 Audubon Blvd, New Orleans, LA 70125 Phone: 985-264-8037 Fax: 504-865-0371 | |
Adrienne A. Truxillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 | |
Dr. Demetrius James Porche, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Gravier St, New Orleans, LA 70112 Phone: 504-568-4106 | |
Emily P Landry, APRN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Napoleon Ave, New Orleans, LA 70115 Phone: 504-894-2050 | |
Ms. Leontine Maxine Trought, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 S Broad St, New Orleans, LA 70125 Phone: 504-383-8559 Fax: 504-371-5162 | |
Camille Yount, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Prytania St Ste 501, New Orleans, LA 70115 Phone: 504-895-3676 |