| Jennifer M Stark, | |
|
1402 S Magnolia St Ste K, Hammond, LA 70403-5020 | |
| (985) 956-7127 | |
| Not Available |
| Full Name | Jennifer M Stark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1402 S Magnolia St Ste K, Hammond, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457016628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 220613 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 220613 (Louisiana) | Primary |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Stark, 1019 Bellecastle St, New Orleans, LA 70115-3030 Ph: (504) 920-9488 | Jennifer M Stark, 1402 S Magnolia St Ste K, Hammond, LA 70403-5020 Ph: (985) 956-7127 |
Mrs. Kristen King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-3066 Fax: 985-230-2072 | |
Mrs. Patricia Garner Dalferes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402s Magnolia St A, Hammond, LA 70403 Phone: 985-247-4567 Fax: 985-269-7091 | |
Brittany Michelle Zimmer, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 | |
Cathy O'neal Riggio, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-318-6400 | |
Laura Kathleen Davis, MSN-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16026 Doctors Blvd, Hammond, LA 70403 Phone: 985-340-7868 | |
Kim C. Fugarino, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42388 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-6251 | |
Mr. George Joseph Rome Iii, N.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-6316 Fax: 985-230-6830 |