| Dwayne Oliver Jeter Jr, | |
|
211 4th St, Alexandria, LA 71301-8421 | |
| (318) 769-3000 | |
| Not Available |
| Full Name | Dwayne Oliver Jeter Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 211 4th St, Alexandria, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720483787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08020 (Louisiana) | Primary |
| Entity Name | Morehouse General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790966638 PECOS PAC ID: 4284528274 Enrollment ID: O20040211000117 |
| Entity Name | Ed Physicians of West Louisiana, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255460143 PECOS PAC ID: 4880795665 Enrollment ID: O20070724000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Oliver Jeter Jr, 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 769-3000 | Dwayne Oliver Jeter Jr, 211 4th St, Alexandria, LA 71301-8421 Ph: (318) 769-3000 |
Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 4th St, Alexandria, LA 71301 Phone: 318-545-0655 |
Melanie Leonard Taylor, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Macarthur Dr, Alexandria, LA 71301 Phone: 318-448-6800 |
Mrs. Aimee Butler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 Prescott Rd Ste 101, Alexandria, LA 71301 Phone: 318-528-5556 |
Jennifer James, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5920 Coliseum Blvd, Alexandria, LA 71303 Phone: 318-443-9339 Fax: 318-443-9116 |
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2108 Texas Ave Ste 3080, Alexandria, LA 71301 Phone: 318-442-5758 |
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Versailles Blvd, Alexandria, LA 71303 Phone: 318-201-5307 Fax: 318-484-4800 |
Mrs. Heather Renee Rachal, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 Southampton Dr, Alexandria, LA 71303 Phone: 318-777-6887 Fax: 318-545-5226 |