| Jana Gautreaux Llc | |
|
814 Main St Franklin LA 70538-5441 | |
| (043) 020-3845 | |
| (985) 231-0213 |
| Full Name | Jana Gautreaux Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 814 Main St, Franklin, Louisiana |
| Authorized Official Name and Position | Jana Gautreaux (PRESIDENT) |
| Authorized Official Contact | 2253339559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jana Gautreaux Llc 101 Jackson St Franklin LA 70538-5430 Ph: (225) 333-9559 | Jana Gautreaux Llc 814 Main St Franklin LA 70538-5441 Ph: (043) 020-3845 |
| NPI Number | 1417349457 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 5294053377 |
|---|---|
| Medicare Enrollment ID | O20150422000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349457 | NPI | - | NPPES |
| 2194569 | Medicaid | LA |
| Provider Name | Jana B Gautreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205192754 PECOS PAC ID: 7416119862 Enrollment ID: I20120501000036 |
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