| Alice J Fanning, FNP | |
|
926 Frances Dr, Haynesville, LA 71038-6100 | |
| (318) 624-0554 | |
| (318) 624-3782 |
| Full Name | Alice J Fanning |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 926 Frances Dr, Haynesville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235423658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | TAP002540 (Louisiana) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice J Fanning, FNP 926 Frances Dr, Haynesville, LA 71038-6100 Ph: (318) 624-0554 | Alice J Fanning, FNP 926 Frances Dr, Haynesville, LA 71038-6100 Ph: (318) 624-0554 |
Mrs. Debra Joyce Baggett-woodard, FNP-BC, PNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 926 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 Fax: 318-624-3782 | |
Anna Grace Braswell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 926 Frances Dr, Haynesville, LA 71038 Phone: 318-624-0554 Fax: 318-624-3782 |