| Louisiana Academic Health Network, Llc | |
|
5552 Read Blvd New Orleans LA 70127 | |
| (504) 373-6264 | |
| Not Available |
| Full Name | Louisiana Academic Health Network, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5552 Read Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Stephen Jones (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5045030036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Academic Health Network, Llc 3333 Saint Claude Ave New Orleans LA 70117-6142 Ph: (504) 324-7790 | Louisiana Academic Health Network, Llc 5552 Read Blvd New Orleans LA 70127 Ph: (504) 373-6264 |
| NPI Number | 1972094266 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 1759770720 |
|---|---|
| Medicare Enrollment ID | O20211112000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972094266 | NPI | - | NPPES |
| 1093840 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD203855 (Louisiana) | Secondary |
| 261QS1000X | Clinic/center - Student Health | MD203855 (Louisiana) | Primary |
| Provider Name | Stephen T Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851568877 PECOS PAC ID: 6709043078 Enrollment ID: I20120605000697 |
| Provider Name | Teshawn L Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594763 PECOS PAC ID: 8123341344 Enrollment ID: I20141219000583 |
| Provider Name | Dominiece Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225570104 PECOS PAC ID: 9830459189 Enrollment ID: I20180205002200 |
| Provider Name | Ahsaki George-scharpon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205350964 PECOS PAC ID: 8527333525 Enrollment ID: I20180206002094 |
| Provider Name | Megan Guidry Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093385502 PECOS PAC ID: 8123418100 Enrollment ID: I20211206002658 |
| Provider Name | Keysha Bryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013671189 PECOS PAC ID: 9537555925 Enrollment ID: I20220412001996 |
| Provider Name | Shannon Regina Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851842843 PECOS PAC ID: 2062897259 Enrollment ID: I20220925000058 |
| Provider Name | Simone Deshaun Knighten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629736640 PECOS PAC ID: 6901282136 Enrollment ID: I20220926002092 |
| Provider Name | Jessica Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295458917 PECOS PAC ID: 5991173643 Enrollment ID: I20221130001527 |
| Provider Name | Lori Ann Stephens Sandifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417608118 PECOS PAC ID: 8820467426 Enrollment ID: I20221202001678 |
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