| Chantel N Wiley, FNP, PMHNP | |
|
10202 Perkins Rowe Ste E-160, Baton Rouge, LA 70810-2067 | |
| (225) 460-4909 | |
| (225) 399-4590 |
| Full Name | Chantel N Wiley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 10202 Perkins Rowe Ste E-160, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134797988 | NPI | - | NPPES |
| 219070 | Other | LA | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 219070 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 219070 (Louisiana) | Primary |
| Entity Name | Hospital Service District #1 Of East Baton Rouge Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
| Entity Name | Minuteclinic Diagnostic Of Louisiana, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975482 PECOS PAC ID: 7618106477 Enrollment ID: O20140128000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Chantel N Wiley, FNP, PMHNP Po Box 223, Zachary, LA 70791-0223 Ph: (225) 460-4909 | Chantel N Wiley, FNP, PMHNP 10202 Perkins Rowe Ste E-160, Baton Rouge, LA 70810-2067 Ph: (225) 460-4909 |
Yolanda Rochelle Cockerham, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 Fax: 225-650-2099 | |
Celeste Buuck, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808 Phone: 225-767-3900 Fax: 225-766-2226 | |
Michelle W. Hilliard, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3140 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-650-2000 | |
Sarah Kilpatrick Wylie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5231 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-769-0933 Fax: 225-769-6255 | |
Stephanie Guidry Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808 Phone: 225-215-0250 Fax: 225-215-1688 | |
Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Mandy Gayle Keown, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10310 The Grove Blvd, Baton Rouge, LA 70836 Phone: 225-761-5200 |