Ms Alice Jo Fautheree, APRN, BC, FNP | |
1140 University Ave., Monroe, La 71209-1170 3183421651, 2110 Justice Street, Monroe, LA 71201 | |
(318) 322-8811 | |
Not Available |
Full Name | Ms Alice Jo Fautheree |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1140 University Ave., Monroe, La 71209-1170 3183421651, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457426348 | NPI | - | NPPES |
1684252 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 45485-01456 (Louisiana) | Primary |
Entity Name | Physician Group Of Louisiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316188998 PECOS PAC ID: 8921147067 Enrollment ID: O20091202000287 |
Mailing Address | Practice Location Address |
---|---|
Ms Alice Jo Fautheree, APRN, BC, FNP 801 Downey Ln, Monroe, LA 71201-4746 Ph: (318) 322-1732 | Ms Alice Jo Fautheree, APRN, BC, FNP 1140 University Ave., Monroe, La 71209-1170 3183421651, 2110 Justice Street, Monroe, LA 71201 Ph: (318) 322-8811 |
Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161 | |
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621 | |
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205 | |
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 | |
Anna Sartor Titus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2408 Duval Dr, Monroe, LA 71201 Phone: 318-516-2611 | |
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424 | |
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874 |