Jennifer Yvonne Treadwell, APRN, CPNP | |
1625 Stockton Blvd Ste 112, Sacramento, CA 95816-7098 | |
(916) 887-4877 | |
(916) 887-4835 |
Full Name | Jennifer Yvonne Treadwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1625 Stockton Blvd Ste 112, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831533553 | NPI | - | NPPES |
292348YH54 | Other | LA | MEDICARE - PTAN |
2336037 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | AP06244 (Louisiana) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95015720 (California) | Primary |
Entity Name | Louisiana State University Health Sciences Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Entity Name | Brfhh Shreveport Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912909912 PECOS PAC ID: 0345475836 Enrollment ID: O20150519000353 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Entity Name | University Health Shreveport, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
Mailing Address | Practice Location Address |
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Jennifer Yvonne Treadwell, APRN, CPNP 1625 Stockton Blvd Ste 112, Sacramento, CA 95816-7098 Ph: (916) 887-4877 | Jennifer Yvonne Treadwell, APRN, CPNP 1625 Stockton Blvd Ste 112, Sacramento, CA 95816-7098 Ph: (916) 887-4877 |
Sumon Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145 | |
Elena Walterman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387 | |
Ilana Lee Abramowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3574 | |
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935 | |
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682 | |
Ashena Varani, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821 Phone: 916-488-6200 Fax: 916-488-6300 |