| Elite Healthcare Providers | |
|
39067 Prairie North Dr Gonzales LA 70737-9506 | |
| (225) 716-5264 | |
| Not Available |
| Full Name | Elite Healthcare Providers |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 39067 Prairie North Dr, Gonzales, Louisiana |
| Authorized Official Name and Position | April Jackson (CEO/COOWNER) |
| Authorized Official Contact | 2257165264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare Providers Po Box 239 Saint Gabriel LA 70776-0239 Ph: (225) 716-5264 | Elite Healthcare Providers 39067 Prairie North Dr Gonzales LA 70737-9506 Ph: (225) 716-5264 |
| NPI Number | 1710599089 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710599089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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