Mrs Tina Diane Johnson, FNP | |
1029 Keyser Ave Ste A, Natchitoches, LA 71457-6215 | |
(318) 352-7768 | |
(318) 357-3661 |
Full Name | Mrs Tina Diane Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1029 Keyser Ave Ste A, Natchitoches, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619239373 | NPI | - | NPPES |
AP06853 | Other | LA | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP06853 (Louisiana) | Primary |
Entity Name | Natchitoches Medical Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124257530 PECOS PAC ID: 5395889927 Enrollment ID: O20100221000012 |
Entity Name | Nrmc Walk-in Clinic Ventures, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306233572 PECOS PAC ID: 1456663327 Enrollment ID: O20150707000451 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tina Diane Johnson, FNP 1026 Parkway Dr, Natchitoches, LA 71457-6275 Ph: (318) 352-7768 | Mrs Tina Diane Johnson, FNP 1029 Keyser Ave Ste A, Natchitoches, LA 71457-6215 Ph: (318) 352-7768 |
Darlinda Theresa Dove, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-5770 | |
Mrs. Amber Manasco Savell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Parkway Dr Ste B, Natchitoches, LA 71457 Phone: 318-352-7768 Fax: 318-357-3661 | |
Roxanne Noel Cook, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-5770 | |
Marquita Dixon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Royal St Ste B, Natchitoches, LA 71457 Phone: 318-352-2971 | |
Miss Carlisa A Washington, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Parkway Dr Ste A, Natchitoches, LA 71457 Phone: 318-352-6464 Fax: 318-352-2488 | |
Ms. Mary Lancaster, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1640 Breazeale Springs St, Natchitoches, LA 71457 Phone: 318-352-9299 Fax: 318-521-8031 | |
Susanna Squyres Lewis, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 740 Keyser Ave Ste E, Natchitoches, LA 71457 Phone: 318-238-5300 |