Ms Shannon Regina Jackson, NP-C | |
235 Civic Center Blvd, Houma, LA 70360-5937 | |
(985) 879-3966 | |
Not Available |
Full Name | Ms Shannon Regina Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 235 Civic Center Blvd, Houma, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851842843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP09036 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP09036 (Louisiana) | Primary |
Entity Name | Pmr La Holding, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700333689 PECOS PAC ID: 7315355062 Enrollment ID: O20210416001427 |
Entity Name | Louisiana Academic Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972094266 PECOS PAC ID: 1759770720 Enrollment ID: O20211112000463 |
Mailing Address | Practice Location Address |
---|---|
Ms Shannon Regina Jackson, NP-C 235 Civic Center Blvd, Houma, LA 70360-5937 Ph: (985) 879-3966 | Ms Shannon Regina Jackson, NP-C 235 Civic Center Blvd, Houma, LA 70360-5937 Ph: (985) 879-3966 |
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 | |
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020 | |
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017 | |
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786 | |
Shawn M Keller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020 | |
Virginia M Pellegrin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Dunn St, Houma, LA 70360 Phone: 985-876-1714 Fax: 985-868-6549 |