| Mrs Shannon N Amacker, FNP | |
|
11990 Jackson St, Clinton, LA 70722-3210 | |
| (225) 683-5292 | |
| (225) 683-1310 |
| Full Name | Mrs Shannon N Amacker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11990 Jackson St, Clinton, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154646388 | NPI | - | NPPES |
| 2143671 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP05954 (Louisiana) | Primary |
| Entity Name | Vohra Post Acute Care Physicians Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821424789 PECOS PAC ID: 0042447682 Enrollment ID: O20131205001723 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon N Amacker, FNP Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Mrs Shannon N Amacker, FNP 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292 |
Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370 | |
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359 | |
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 | |
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Lezerrica Ford, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310 | |
Mrs. Darie S. Gilliam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 |