Mrs Shannon N Amacker, FNP | |
11990 Jackson St, Clinton, LA 70722-3210 | |
(225) 683-5292 | |
(225) 683-1310 |
Full Name | Mrs Shannon N Amacker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
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 |
---|---|---|---|
1154646388 | NPI | - | NPPES |
2143671 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP05954 (Louisiana) | Primary |
Entity Name | Southeast Community Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023147113 PECOS PAC ID: 4284610437 Enrollment ID: O20050124000119 |
Entity Name | Southeast Community Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366617367 PECOS PAC ID: 4284610437 Enrollment ID: O20120808000592 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shannon N Amacker, FNP Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Mrs Shannon N Amacker, FNP 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 | |
Lezerrica Ford, RN 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 |