Shane Louis Pennison, APRN, FNP-C | |
431 W Lafayette St, Winnfield, LA 71483-3463 | |
(318) 648-0375 | |
Not Available |
Full Name | Shane Louis Pennison |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 431 W Lafayette St, Winnfield, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063142412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 225854 (Louisiana) | Primary |
Entity Name | Winn Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
Mailing Address | Practice Location Address |
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Shane Louis Pennison, APRN, FNP-C Po Box 68, Dry Prong, LA 71423-0068 Ph: (318) 447-5305 | Shane Louis Pennison, APRN, FNP-C 431 W Lafayette St, Winnfield, LA 71483-3463 Ph: (318) 648-0375 |
Delinda Cockerham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971 | |
Jamie Golemon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 Fax: 318-648-0378 | |
Mrs. Amanda Gammel James, PCPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 | |
Sylvia Denise Powell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Gum Springs Road, Winnfield, LA 71483 Phone: 318-628-3971 | |
Mrs. Angela Nicole Thorn, CPNP-PN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 W Court St Ste B, Winnfield, LA 71483 Phone: 318-209-4646 Fax: 318-209-4649 | |
Mrs. Ansley T Hughes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-704-5775 |