| Jessica Ezejimofor, PMHNP | |
|
37283 Swamp Rd Ste 803, Prairieville, LA 70769-3329 | |
| (225) 254-9589 | |
| (225) 208-7267 |
| Full Name | Jessica Ezejimofor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 37283 Swamp Rd Ste 803, Prairieville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891500765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 239767 (Louisiana) | Primary |
| Entity Name | Gulf Coast Behavioral Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043956527 PECOS PAC ID: 6800275488 Enrollment ID: O20220628002932 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ezejimofor, PMHNP 37283 Swamp Rd Ste 803, Prairieville, LA 70769-3329 Ph: (225) 254-9589 | Jessica Ezejimofor, PMHNP 37283 Swamp Rd Ste 803, Prairieville, LA 70769-3329 Ph: (225) 254-9589 |
Dr. Shantell Burns, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16270 Airline Hwy Ste D, Prairieville, LA 70769 Phone: 225-402-2299 Fax: 866-258-9870 |
Angie Bringaze, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16158 Airline Hwy Ste 102, Prairieville, LA 70769 Phone: 225-636-2603 |
Mrs. Holly Valentine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37283 Swamp Rd Ste 1102, Prairieville, LA 70769 Phone: 225-245-9355 Fax: 225-536-9355 |
Darbie Joffrion, MSN, APRN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769 Phone: 225-647-8511 Fax: 225-743-2085 |
Mr. Daniel Jude Schnebelen, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14350 La Highway 73, Prairieville, LA 70769 Phone: 225-313-3930 Fax: 225-313-3940 |
Kady Millican Lato, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17581 Old Jefferson Hwy, Prairieville, LA 70769 Phone: 225-755-9779 Fax: 225-452-0006 |
Mrs. Rebecca Jean Cranford, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17520 Old Jefferson Hwy, Prairieville, LA 70769 Phone: 225-673-8983 Fax: 225-677-8983 |