| Mallarie Toms, NP | |
|
1809 Northpointe Ln Ste 102, Ruston, LA 71270-3852 | |
| (318) 255-3762 | |
| (318) 255-2866 |
| Full Name | Mallarie Toms |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1809 Northpointe Ln Ste 102, Ruston, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124594171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10037 (Louisiana) | Primary |
| Entity Name | Physician Group Of Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316188998 PECOS PAC ID: 8921147067 Enrollment ID: O20091202000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallarie Toms, NP 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 | Mallarie Toms, NP 1809 Northpointe Ln Ste 102, Ruston, LA 71270-3852 Ph: (318) 255-3762 |
Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500 | |
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866 | |
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 | |
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040 | |
Kambri Phillips, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340 | |
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978 | |
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116 |