Mrs Andrea Latrese Jackson-wilson, FNP-BC | |
5825 Airline Hwy, Baton Rouge, LA 70805-2408 | |
(225) 358-1000 | |
Not Available |
Full Name | Mrs Andrea Latrese Jackson-wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 5825 Airline Hwy, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033367529 | NPI | - | NPPES |
1311901 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP05569 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsuhn Billing Llc | 0446337802 | 173 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Mailing Address | Practice Location Address |
---|---|
Mrs Andrea Latrese Jackson-wilson, FNP-BC 1401 N Foster Dr, Baton Rouge, LA 70806-1818 Ph: (225) 987-9000 | Mrs Andrea Latrese Jackson-wilson, FNP-BC 5825 Airline Hwy, Baton Rouge, LA 70805-2408 Ph: (225) 358-1000 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 | |
Celeste Buuck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 | |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 | |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 | |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 | |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |