| Mrs Adravon S Henderson, FNP | |
|
2314 S Range Ave, Denham Springs, LA 70726-5216 | |
| (225) 480-4080 | |
| (866) 751-0881 |
| Full Name | Mrs Adravon S Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2314 S Range Ave, Denham Springs, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326408576 | NPI | - | NPPES |
| 2421727 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP08715 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care La Pc | 1951712280 | 41 |
| Louisiana Internal Medicine And Pediatric Associates, Llc | 5092089896 | 3 |
| Entity Name | Pcp Urgent Care Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245601038 PECOS PAC ID: 5092016816 Enrollment ID: O20151222000155 |
| Entity Name | Louisiana Internal Medicine And Pediatric Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871025387 PECOS PAC ID: 5092089896 Enrollment ID: O20170918001571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adravon S Henderson, FNP 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Mrs Adravon S Henderson, FNP 2314 S Range Ave, Denham Springs, LA 70726-5216 Ph: (225) 480-4080 |
Ashley Richardson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34807 La-16, Denham Springs, LA 70706 Phone: 225-269-9223 Fax: 225-269-9224 | |
Christine Galloway Palmer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13617 Brown Road, Denham Springs, LA 70726 Phone: 225-937-2748 | |
Mrs. Chillena Edwards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8787 Shephard Dr, Denham Springs, LA 70726 Phone: 504-621-6019 | |
Kaylie Devall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10130 Crossing Way Ste 335, Denham Springs, LA 70726 Phone: 225-667-2777 | |
Evangeline Marie Fontenot, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8369 Florida Blvd Ste 8, Denham Springs, LA 70726 Phone: 225-765-5500 Fax: 225-667-1770 | |
Megan Moreau Haley, MSN PMHNP RNC-OB Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8598 Sandpiper St, Denham Springs, LA 70706 Phone: 225-278-7970 | |
Ashley Smith-schenk, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34807 La Highway 16, Denham Springs, LA 70706 Phone: 225-269-9223 Fax: 225-269-9224 |