| Mr Edward Clay Nichols, FNP | |
|
3326 Front St, Winnsboro, LA 71295-6487 | |
| (318) 435-7333 | |
| (318) 435-9061 |
| Full Name | Mr Edward Clay Nichols |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 3326 Front St, Winnsboro, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063745602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APO5939 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Medical Center | Winnsboro, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winnsboro Medical Clinic | 4183511017 | 5 |
| Entity Name | Winnsboro Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621326 PECOS PAC ID: 4183511017 Enrollment ID: O20040303001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Clay Nichols, FNP 2375 Highway 130, Winnsboro, LA 71295-7704 Ph: (318) 435-4064 | Mr Edward Clay Nichols, FNP 3326 Front St, Winnsboro, LA 71295-6487 Ph: (318) 435-7333 |
John Tyler Ulmer, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Fair Ave, Winnsboro, LA 71295 Phone: 318-435-8020 | |
Mrs. Jessica Ellen Credle, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2106 Loop Rd Ste B, Winnsboro, LA 71295 Phone: 318-239-4860 Fax: 805-295-4715 | |
Mrs. Kimberly R Fannin - Trisler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2106 Loop Rd # C, Winnsboro, LA 71295 Phone: 318-435-4571 Fax: 318-435-3842 | |
Jessica Williams Perry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste A, Winnsboro, LA 71295 Phone: 318-435-6363 Fax: 318-435-3842 | |
Samantha J Wood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2104 Loop Rd Ste C, Winnsboro, LA 71295 Phone: 318-435-4571 | |
Mrs. Shelia Katheleen Perry, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Polk St, Winnsboro, LA 71295 Phone: 318-435-6116 |