| Nikita Pearl, | |
|
721 Avenue G, Kentwood, LA 70444-2601 | |
| (888) 414-7247 | |
| Not Available |
| Full Name | Nikita Pearl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 721 Avenue G, Kentwood, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093107310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07896 (Louisiana) | Primary |
| Entity Name | Wcs Professional Services Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851644876 PECOS PAC ID: 7719124080 Enrollment ID: O20130503000185 |
| Entity Name | Restorixhealth At-home Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255974689 PECOS PAC ID: 8123455011 Enrollment ID: O20200306000187 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita Pearl, Po Box 770, Zachary, LA 70791-0770 Ph: (888) 414-7247 | Nikita Pearl, 721 Avenue G, Kentwood, LA 70444-2601 Ph: (888) 414-7247 |
Kizzy Woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2003 | |
Geneva Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2100 | |
Dr. Kerneisha Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Avenue G, Kentwood, LA 70444 Phone: 337-603-6364 Fax: 985-545-2009 | |
Jennifer St. Romain, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 985-229-5501 Fax: 985-229-6828 | |
Bryan D. Tate Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 Avenue G, Kentwood, LA 70444 Phone: 985-229-0202 Fax: 985-229-2859 | |
Jalexia Deann Diamond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 813 Fisher Ln, Kentwood, LA 70444 Phone: 985-662-8659 |