Samuel Lamont Jerideau, RN - Nurse Practitioner in Duncanville, TX

Samuel Lamont Jerideau, RN is a Nurse Practitioner - Family based in Duncanville, Texas. Samuel Lamont Jerideau is licensed to practice in Texas (license number 651668) and his current practice location is 1459 Acton Ave, Duncanville, Texas. He can be reached at his office (for appointments etc.) via phone at (972) 780-0118.

NPI number for Samuel Lamont Jerideau is 1790719748 and his current mailing address is 1459 Acton Ave, Duncanville, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790719748.

Contact Information

Samuel Lamont Jerideau, RN
1459 Acton Ave,
Duncanville, TX 75137-3338
(972) 780-0118
(972) 780-0491

Map and Direction




Provider's Profile

Full NameSamuel Lamont Jerideau
GenderMale
SpecialityNurse Practitioner - Family
Location1459 Acton Ave, Duncanville, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790719748
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 09/26/2011

Medical Identifiers

Medical identifiers for Samuel Lamont Jerideau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790719748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 651668 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Lamont Jerideau is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Lamont Jerideau, RN
1459 Acton Ave,
Duncanville, TX 75137-3338

Ph: (972) 780-0118
Samuel Lamont Jerideau, RN
1459 Acton Ave,
Duncanville, TX 75137-3338

Ph: (972) 780-0118

Reviews and Comments


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