| Kristen Bordelon Jeansonne, NURSE PRACTITIONER | |
|
1007 Sycamore St Ste B, Cottonport, LA 71327-3403 | |
| (800) 462-0742 | |
| (318) 964-2554 |
| Full Name | Kristen Bordelon Jeansonne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1007 Sycamore St Ste B, Cottonport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831612415 | NPI | - | NPPES |
| 2452657 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09522 (Louisiana) | Primary |
| Entity Name | Cenla Family Medicine Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397542 PECOS PAC ID: 7517010705 Enrollment ID: O20090805000749 |
| Entity Name | Winn Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Bordelon Jeansonne, NURSE PRACTITIONER 1007 Sycamore St Ste B, Cottonport, LA 71327-3403 Ph: (800) 462-0742 | Kristen Bordelon Jeansonne, NURSE PRACTITIONER 1007 Sycamore St Ste B, Cottonport, LA 71327-3403 Ph: (800) 462-0742 |
Mr. Herndon Martin Jeansonne Ii, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Jarod Huffman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Jamie Garrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 | |
Shannon Rozas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore St, Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Lauren Wiley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1007 Sycamore Street, Cottonport, LA 71327 Phone: 800-462-0742 Fax: 318-876-3211 |