Susan A Davis, FNP | |
2801 Fourth St Ste 2, Jonesville, LA 71343-2027 | |
(318) 339-9901 | |
(318) 339-9941 |
Full Name | Susan A Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2801 Fourth St Ste 2, Jonesville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396794723 | NPI | - | NPPES |
1623814 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP04515 (Louisiana) | Primary |
Entity Name | Tillman Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043260615 PECOS PAC ID: 9739179730 Enrollment ID: O20040723000044 |
Mailing Address | Practice Location Address |
---|---|
Susan A Davis, FNP 2801 Fourth St Ste 2, Jonesville, LA 71343-2027 Ph: (318) 339-9901 | Susan A Davis, FNP 2801 Fourth St Ste 2, Jonesville, LA 71343-2027 Ph: (318) 339-9901 |
Christina White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Audubon Dr, Jonesville, LA 71343 Phone: 318-339-4112 Fax: 318-339-6388 | |
Mrs. Lauren King, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Fourth St, Jonesville, LA 71343 Phone: 318-403-6080 Fax: 318-403-6087 | |
Mr. Evan C Ashley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Fourth St, Jonesville, LA 71343 Phone: 318-403-6080 Fax: 318-403-6087 |