Lavechelle Pillers, FNP | |
5140 Galaxie Dr Ste 105, Jackson, MS 39206-4354 | |
(601) 300-3935 | |
Not Available |
Full Name | Lavechelle Pillers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5140 Galaxie Dr Ste 105, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477023596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 901938 (Mississippi) | Primary |
Entity Name | Claiborne County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
Mailing Address | Practice Location Address |
---|---|
Lavechelle Pillers, FNP 15 Jennifer Ct, Madison, MS 39110-8898 Ph: (769) 798-0729 | Lavechelle Pillers, FNP 5140 Galaxie Dr Ste 105, Jackson, MS 39206-4354 Ph: (601) 300-3935 |
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