Jewell Lites, AGACNP | |
7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | |
(504) 977-2735 | |
Not Available |
Full Name | Jewell Lites |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 7551 Youree Dr Ste 11, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841994225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 227473 (Louisiana) | Primary |
Entity Name | Centerwell Senior Primary Care La Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760005136 PECOS PAC ID: 1951712280 Enrollment ID: O20210217000212 |
Mailing Address | Practice Location Address |
---|---|
Jewell Lites, AGACNP 163 Panther Dr, Stonewall, LA 71078-9402 Ph: (318) 525-2814 | Jewell Lites, AGACNP 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 Ph: (504) 977-2735 |
Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889 | |
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556 | |
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470 | |
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671 | |
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194 | |
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |