Mrs Louann Clark, ARNP | |
14027 5th St, Dade City, FL 33525-4302 | |
(352) 518-2000 | |
(352) 567-0218 |
Full Name | Mrs Louann Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 14027 5th St, Dade City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710940333 | NPI | - | NPPES |
3021360000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3198092 (Florida) | Primary |
Entity Name | Premier Community Healthcare Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701 |
Mailing Address | Practice Location Address |
---|---|
Mrs Louann Clark, ARNP Po Box 232, Dade City, FL 33526 Ph: (352) 518-2000 | Mrs Louann Clark, ARNP 14027 5th St, Dade City, FL 33525-4302 Ph: (352) 518-2000 |
Dorothy R Budetti, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13941 15th St, Dade City, FL 33525 Phone: 352-521-1450 Fax: 352-523-6910 | |
Kirsten T Rhoden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13417 Us Highway 301 Ste B, Dade City, FL 33525 Phone: 352-521-3967 | |
Jessica Lynn Faber, PMNHP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14527 7th St, Dade City, FL 33523 Phone: 352-521-1474 | |
Mrs. Terri Lynn Jones, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12880 Us Highway 301, Dade City, FL 33525 Phone: 352-567-3325 Fax: 352-567-3385 | |
Barbara Rose Muniz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13417 Us Highway 301 Ste D, Dade City, FL 33525 Phone: 352-567-8640 Fax: 813-355-5027 | |
Shauna M Deschamps, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13540 17th St, Dade City, FL 33525 Phone: 352-437-3107 Fax: 352-437-3120 | |
Margaret E Young, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13417 Us Highway 301, Dade City, FL 33525 Phone: 352-521-3967 Fax: 352-521-4967 |