| Mr Ryan Slade Dykes Sr, FNP | |
|
1115 Levee Rd., Saint Joseph, LA 71366 | |
| (318) 766-1967 | |
| Not Available |
| Full Name | Mr Ryan Slade Dykes Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1115 Levee Rd., Saint Joseph, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366549354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN 05009 (Louisiana) | Primary |
| Entity Name | Progressive Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376657817 PECOS PAC ID: 0244320562 Enrollment ID: O20071226000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Slade Dykes Sr, FNP 1115 Levee Rd., Saint Joseph, LA 71366 Ph: (318) 766-1967 | Mr Ryan Slade Dykes Sr, FNP 1115 Levee Rd., Saint Joseph, LA 71366 Ph: (318) 766-1967 |
Mrs. Caroline Dixon Carpenter, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Newton St, Saint Joseph, LA 71366 Phone: 318-766-8506 Fax: 318-728-6183 | |
Mrs. Dolores R. Hawthorne, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Levee Rd, Saint Joseph, LA 71366 Phone: 318-766-1967 Fax: 318-766-9090 | |
Ms. Kameika Neichelle Green, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 Levee Rd, Saint Joseph, LA 71366 Phone: 318-766-1967 | |
Jasmine Bass, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Newton St, Saint Joseph, LA 71366 Phone: 318-412-5265 | |
Mr. Joe C Florice, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Newton St, Saint Joseph, LA 71366 Phone: 318-766-8506 Fax: 318-435-7458 |