| Dr Jarred Dewayne Sepulvado, DNP, CRNA | |
|
605 Tunica Trl, Bossier City, LA 71111-5192 | |
| (318) 780-0329 | |
| Not Available |
| Full Name | Dr Jarred Dewayne Sepulvado |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 605 Tunica Trl, Bossier City, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639940125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200185 (Louisiana) | Primary |
| Entity Name | Willis Knighton Medical Center Inc Crna Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jarred Dewayne Sepulvado, DNP, CRNA 605 Tunica Trl, Bossier City, LA 71111-5192 Ph: (318) 780-0329 | Dr Jarred Dewayne Sepulvado, DNP, CRNA 605 Tunica Trl, Bossier City, LA 71111-5192 Ph: (318) 780-0329 |
Monica N Collinsworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Farrah Lee Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Dr. Colton Sedberry, DNP-A, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3418 Grand Bayou Dr, Bossier City, LA 71111 Phone: 318-210-8173 | |
Larissa S Koll, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Mr. Jon Patrick Jeffcoat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 Airline Dr, Bossier City, LA 71111 Phone: 318-549-2011 | |
Mr. Creighton K Cathey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 603 Fall Winds Cir, Bossier City, LA 71111 Phone: 318-230-3000 |