Mrs Jamie Marie Portacci, APRN, FNP-C | |
1809 Northpointe Ln Ste 102, Ruston, LA 71270 | |
(318) 255-3762 | |
Not Available |
Full Name | Mrs Jamie Marie Portacci |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1809 Northpointe Ln Ste 102, Ruston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659503092 | NPI | - | NPPES |
1820385 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN065346 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | APO5948 (Louisiana) | Primary |
Entity Name | Louisiana Family Medicine Clinic 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jamie Marie Portacci, APRN, FNP-C 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 | Mrs Jamie Marie Portacci, APRN, FNP-C 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Ph: (318) 255-3762 |
Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500 | |
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866 | |
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 | |
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040 | |
Kambri Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340 | |
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978 | |
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116 |