Jennifer Harmon Boudreaux, | |
1441 Liberty St, Redding, CA 96001-0811 | |
(530) 224-2700 | |
(530) 224-2738 |
Full Name | Jennifer Harmon Boudreaux |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1441 Liberty St, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275179012 | NPI | - | NPPES |
NP95013036 | Other | CA | BOARD OF REGISTERED NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95013036 (California) | Primary |
Entity Name | Redding Rancheria |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Harmon Boudreaux, 1441 Liberty St, Redding, CA 96001-0811 Ph: (530) 224-2700 | Jennifer Harmon Boudreaux, 1441 Liberty St, Redding, CA 96001-0811 Ph: (530) 224-2700 |
Elaine Isabella Edwards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 415-606-4501 | |
Kathleen Toney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Laurel Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Lake Blvd Ste A, Redding, CA 96003 Phone: 530-337-5750 | |
Julie Schock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Kristin Marie Trevor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 | |
Erin Baldwin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 | |
Brian A Pongracz, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-806-1190 Fax: 530-229-7946 |