Mrs Dametra Danielle Taylor, FNP | |
1050 N Robinson St, Many, LA 71449-3536 | |
(318) 256-8150 | |
(318) 256-8136 |
Full Name | Mrs Dametra Danielle Taylor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1050 N Robinson St, Many, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013416007 | NPI | - | NPPES |
2479521 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP09786 (Louisiana) | Primary |
Entity Name | Outpatient Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523266 PECOS PAC ID: 5597651794 Enrollment ID: O20040807000145 |
Entity Name | Iberia Comprehensive Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922046549 PECOS PAC ID: 6204817828 Enrollment ID: O20050809000029 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dametra Danielle Taylor, FNP 806 Jefferson Ter, New Iberia, LA 70560-5727 Ph: (337) 365-4945 | Mrs Dametra Danielle Taylor, FNP 1050 N Robinson St, Many, LA 71449-3536 Ph: (318) 256-8150 |
Melissa Branch Vines, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11340 Texas Hwy, Many, LA 71449 Phone: 318-315-0574 | |
Jessica L Sepulvado, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Highland Dr, Many, LA 71449 Phone: 318-256-5722 Fax: 318-256-5774 | |
Lance Grappe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11340 Texas Hwy, Many, LA 71449 Phone: 318-508-5323 | |
Jodie Williams Kezerle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 S Capitol St, Many, LA 71449 Phone: 318-256-2000 | |
Mrs. Grace Ekanem Dinvaut, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 N Robinson St, Many, LA 71449 Phone: 318-256-8150 Fax: 318-256-8136 | |
Ms. Gabrielle Latari Newton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: The Pediatric Center, 315 S Highland Drive Suite A, Many, LA 71449 Phone: 318-431-5100 Fax: 318-808-7007 |