| Jennifer Tyson, NNP | |
|
501 Medical Center Dr, Alexandria, LA 71301-8124 | |
| (308) 769-3000 | |
| Not Available |
| Full Name | Jennifer Tyson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 501 Medical Center Dr, 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 |
|---|---|---|---|
| 1164846838 | NPI | - | NPPES |
| 2433725 | Medicaid | LA | |
| AP07691 | Other | LA | STATE LICENSE |
| 044440 | Other | LA | STATE NARCOTICS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | AP07691 (Louisiana) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | AP07691 (Louisiana) | Primary |
| Entity Name | Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043230873 PECOS PAC ID: 3971401944 Enrollment ID: O20031229000715 |
| Entity Name | Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306156138 PECOS PAC ID: 8022207745 Enrollment ID: O20110112000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Tyson, NNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Jennifer Tyson, NNP 501 Medical Center Dr, Alexandria, LA 71301-8124 Ph: (308) 769-3000 |
Stefanie Harris Corley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled 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 | |
Lisa Latel Lee, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr # 250, Alexandria, LA 71301 Phone: 318-473-4613 | |
Nancy Carol Grass-ferguson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments 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: 217 Brevard Ct Ste D, Alexandria, LA 71303 Phone: 318-777-6887 | |
Jessica Floyd, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Constitution Dr, Alexandria, LA 71303 Phone: 318-316-9286 Fax: 318-704-0642 | |
Tracie Givens, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3704 North Blvd Ste D, Alexandria, LA 71301 Phone: 318-528-3200 Fax: 318-528-3201 |