Lezerrica Ford, RN | |
11990 Jackson St, Clinton, LA 70722-3210 | |
(225) 683-5292 | |
(225) 683-1310 |
Full Name | Lezerrica Ford |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 11990 Jackson St, Clinton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124889829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 234383 (Louisiana) | Primary |
163W00000X | Registered Nurse | RN157056 (Louisiana) | Secondary |
Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173 |
Mailing Address | Practice Location Address |
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Lezerrica Ford, RN Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Lezerrica Ford, RN 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292 |
Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370 | |
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359 | |
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 | |
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Shannon N Amacker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Darie S. Gilliam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 |