| Holly Martin Millet, NP | |
|
827 N Pine St, Gramercy, LA 70052-3602 | |
| (225) 869-9200 | |
| (225) 869-9241 |
| Full Name | Holly Martin Millet |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 827 N Pine St, Gramercy, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124658745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 210698 (Louisiana) | Primary |
| Entity Name | St James Primary Care (apmc) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346429453 PECOS PAC ID: 0941270961 Enrollment ID: O20040728000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Martin Millet, NP Po Box 419, Gramercy, LA 70052-0419 Ph: (225) 869-9200 | Holly Martin Millet, NP 827 N Pine St, Gramercy, LA 70052-3602 Ph: (225) 869-9200 |
Chad M Madere, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 | |
Mrs. Brandi Boudreaux Payne, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 | |
Shanedolyn Grover, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 |