| Integrity Health And Wellness | |
|
3637 Canal St New Orleans LA 70119-6110 | |
| (504) 613-0315 | |
| (504) 613-0316 |
| Full Name | Integrity Health And Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 3637 Canal St, New Orleans, Louisiana |
| Authorized Official Name and Position | Jacob Robert Rickoll (OWNER/NP) |
| Authorized Official Contact | 5044736943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health And Wellness 764 Walnut Knoll Ln Cordova TN 38018-3113 Ph: (901) 756-5565 | Integrity Health And Wellness 3637 Canal St New Orleans LA 70119-6110 Ph: (504) 613-0315 |
| NPI Number | 1851015127 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 4183099294 |
|---|---|
| Medicare Enrollment ID | O20230403001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851015127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Jacob Robert Rickoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225665417 PECOS PAC ID: 7416364799 Enrollment ID: I20210405000149 |
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