| Ms Datia Levon Drake, FNP | |
|
648 Crestwood Blvd, Covington, LA 70433-8261 | |
| (985) 805-2555 | |
| Not Available |
| Full Name | Ms Datia Levon Drake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 648 Crestwood Blvd, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447089842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 236145 (Louisiana) | Primary |
| Entity Name | Neuro Care Of Louisiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073962528 PECOS PAC ID: 0143514083 Enrollment ID: O20160816000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Datia Levon Drake, FNP 42317 September Rain Dr, Hammond, LA 70403-2115 Ph: (985) 634-2877 | Ms Datia Levon Drake, FNP 648 Crestwood Blvd, Covington, LA 70433-8261 Ph: (985) 805-2555 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |