| Timothy James Jackson, NP | |
|
155 Hospital Dr, Lafayette, LA 70503-2852 | |
| (337) 269-9777 | |
| (337) 269-0244 |
| Full Name | Timothy James Jackson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 155 Hospital Dr, Lafayette, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144217969 | NPI | - | NPPES |
| 1949388 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN 073450 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy James Jackson, NP Po Box 52507, Lafayette, LA 70505-2507 Ph: (337) 269-9777 | Timothy James Jackson, NP 155 Hospital Dr, Lafayette, LA 70503-2852 Ph: (337) 269-9777 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 La Rue France, 201, Lafayette, LA 70508 Phone: 337-235-9355 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |