Angela D Kennerly, FNP-C | |
213 W Main St, New Roads, LA 70760-3511 | |
(225) 242-9162 | |
(833) 972-7844 |
Full Name | Angela D Kennerly |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 213 W Main St, New Roads, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275249088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 229265 (Louisiana) | Primary |
207Q00000X | Family Medicine | 229265 (Louisiana) | Secondary |
Entity Name | New Roads Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366204182 PECOS PAC ID: 0143662825 Enrollment ID: O20240527000427 |
Entity Name | Louisiana Stat Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891517512 PECOS PAC ID: 3870028491 Enrollment ID: O20241119004702 |
Mailing Address | Practice Location Address |
---|---|
Angela D Kennerly, FNP-C Po Box 477, Geismar, LA 70734-0477 Ph: (225) 242-9162 | Angela D Kennerly, FNP-C 213 W Main St, New Roads, LA 70760-3511 Ph: (225) 242-9162 |
Dr. Naydean Lashon Ruffin-brisco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9282 Delta Place Rd, New Roads, LA 70760 Phone: 225-242-9751 | |
Elizabeth Carol Berrigan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 W Main St, New Roads, LA 70760 Phone: 225-242-9162 Fax: 833-972-7844 | |
Ashley Territo Pourciau, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Durel Dr, New Roads, LA 70760 Phone: 225-713-2400 Fax: 225-713-2405 | |
Mrs. Ashley Schiro Laurent, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste I, New Roads, LA 70760 Phone: 225-638-4585 | |
Katelyn A Dupre, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste H, New Roads, LA 70760 Phone: 225-618-5959 | |
Crystal Hurst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Hospital Rd, New Roads, LA 70760 Phone: 373-912-4030 |