| Mrs Jena Miller Roy, FNP-BC | |
|
2932 Stagg Ave, Ste A, Basile, LA 70515-5560 | |
| (337) 432-5552 | |
| (337) 432-5553 |
| Full Name | Mrs Jena Miller Roy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2932 Stagg Ave, Basile, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245553593 | NPI | - | NPPES |
| 2116479 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN115486-AP06059 (Louisiana) | Primary |
| Entity Name | Mercy Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598885832 PECOS PAC ID: 7214036011 Enrollment ID: O20070620000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jena Miller Roy, FNP-BC 2932 Stagg Ave, Ste A, Basile, LA 70515-5560 Ph: (337) 432-5552 | Mrs Jena Miller Roy, FNP-BC 2932 Stagg Ave, Ste A, Basile, LA 70515-5560 Ph: (337) 432-5552 |
Mrs. Alanna Denise Hebert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1366 Mamou Prairie Rd, Basile, LA 70515 Phone: 337-580-0930 | |
Desiree Lewis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3843 Stagg Ave, Basile, LA 70515 Phone: 318-668-5900 | |
Sophia Ann Dupre, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3843 Stagg Ave, Basile, LA 70515 Phone: 337-668-5900 | |
Nikki L Toussaint, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1431 N. Fusilier Ave., Basile, LA 70515 Phone: 337-432-0200 Fax: 337-432-0202 |