Mr Ryan Slade Dykes Sr, FNP | |
1115 Levee Rd., Saint Joseph, LA 71366 | |
(318) 766-1967 | |
Not Available |
Full Name | Mr Ryan Slade Dykes Sr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1115 Levee Rd., Saint Joseph, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366549354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN 05009 (Louisiana) | Primary |
Entity Name | Progressive Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376657817 PECOS PAC ID: 0244320562 Enrollment ID: O20071226000173 |
Mailing Address | Practice Location Address |
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Mr Ryan Slade Dykes Sr, FNP 1115 Levee Rd., Saint Joseph, LA 71366 Ph: (318) 766-1967 | Mr Ryan Slade Dykes Sr, FNP 1115 Levee Rd., Saint Joseph, LA 71366 Ph: (318) 766-1967 |
Mrs. Caroline Dixon Carpenter, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Newton St, Saint Joseph, LA 71366 Phone: 318-766-8506 Fax: 318-728-6183 | |
Mrs. Dolores R. Hawthorne, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Levee Rd, Saint Joseph, LA 71366 Phone: 318-766-1967 Fax: 318-766-9090 | |
Ms. Kameika Neichelle Green, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 Levee Rd, Saint Joseph, LA 71366 Phone: 318-766-1967 | |
Mr. Joe C Florice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Newton St, Saint Joseph, LA 71366 Phone: 318-766-8506 Fax: 318-435-7458 |