| Amy Blake, FNP-C | |
|
340 Webb Smith Dr, Colfax, LA 71417-1910 | |
| (318) 627-5021 | |
| Not Available |
| Full Name | Amy Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 340 Webb Smith Dr, Colfax, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063838464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07742 (Louisiana) | Primary |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Blake, FNP-C Po Box 1288, Winnfield, LA 71483-1288 Ph: (318) 627-5021 | Amy Blake, FNP-C 340 Webb Smith Dr, Colfax, LA 71417-1910 Ph: (318) 627-5021 |
Summer Craig Guidry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Webb Smith Dr, Colfax, LA 71417 Phone: 318-627-5021 Fax: 318-627-5999 | |
Wendy Wilkinson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Webb Smith Dr, Colfax, LA 71417 Phone: 318-627-5021 | |
Mrs. Kaycie Posey, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 366 Webb Smith Dr, Colfax, LA 71417 Phone: 337-991-9276 Fax: 318-277-9327 |