Jenae Ventress Poole, FNP-C | |
16414 Confederate Ave, Baton Rouge, LA 70817-3629 | |
(225) 456-7380 | |
Not Available |
Full Name | Jenae Ventress Poole |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 16414 Confederate Ave, 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 |
---|---|---|---|
1255827218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP09995 (Louisiana) | Primary |
Entity Name | Minuteclinic Diagnostic Of Louisiana, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975482 PECOS PAC ID: 7618106477 Enrollment ID: O20140128000722 |
Entity Name | Monogram Health Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659987436 PECOS PAC ID: 4880004183 Enrollment ID: O20201228000491 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
Mailing Address | Practice Location Address |
---|---|
Jenae Ventress Poole, FNP-C 16414 Confederate Ave, Baton Rouge, LA 70817-3629 Ph: (225) 456-7380 | Jenae Ventress Poole, FNP-C 16414 Confederate Ave, Baton Rouge, LA 70817-3629 Ph: (225) 456-7380 |
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