Kellie Mattingly Smith, | |
5001 Westbank Expy Ste 100, Marrero, LA 70072-2954 | |
(504) 349-8833 | |
Not Available |
Full Name | Kellie Mattingly Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5001 Westbank Expy Ste 100, Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467113027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 223687 (Louisiana) | Primary |
Entity Name | Jeffcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518383785 PECOS PAC ID: 7911125513 Enrollment ID: O20140827000480 |
Mailing Address | Practice Location Address |
---|---|
Kellie Mattingly Smith, 3212 Rue Marcelle St., Meraux, LA 70075 Ph: (504) 259-6120 | Kellie Mattingly Smith, 5001 Westbank Expy Ste 100, Marrero, LA 70072-2954 Ph: (504) 349-8833 |
Mrs. Hilary Gary Fincke, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd Ste N804, Marrero, LA 70072 Phone: 504-934-8777 | |
Thelma Sonza, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite 613n, Marrero, LA 70072 Phone: 504-394-6800 Fax: 504-349-6621 | |
Nadinna Joseph, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Avenue C, Marrero, LA 70072 Phone: 504-914-3956 | |
Michelle Petrucco Sibille, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd Ste 511, Marrero, LA 70072 Phone: 504-349-6301 | |
Laura Kathleen Brown, MSN-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-349-2351 | |
Kaelynn Landeche Francisco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd, Marrero, LA 70072 Phone: 504-349-6945 | |
Adrienne Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd Ste N406, Marrero, LA 70072 Phone: 504-393-0088 |