Kristen Bordelon Jeansonne, NURSE PRACTITIONER | |
1007 Sycamore St Ste B, Cottonport, LA 71327-3403 | |
(800) 462-0742 | |
(318) 964-2554 |
Full Name | Kristen Bordelon Jeansonne |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1007 Sycamore St Ste B, Cottonport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831612415 | NPI | - | NPPES |
2452657 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP09522 (Louisiana) | Primary |
Entity Name | Cenla Family Medicine Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397542 PECOS PAC ID: 7517010705 Enrollment ID: O20090805000749 |
Entity Name | Winn Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
Mailing Address | Practice Location Address |
---|---|
Kristen Bordelon Jeansonne, NURSE PRACTITIONER 1007 Sycamore St Ste B, Cottonport, LA 71327-3403 Ph: (800) 462-0742 | Kristen Bordelon Jeansonne, NURSE PRACTITIONER 1007 Sycamore St Ste B, Cottonport, LA 71327-3403 Ph: (800) 462-0742 |
Mr. Herndon Martin Jeansonne Ii, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Jarod Huffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Jamie Garrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 | |
Shannon Rozas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Lauren Wiley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 |