| Susan A Davis, FNP | |
|
2801 Fourth St Ste 2, Jonesville, LA 71343-2027 | |
| (318) 339-9901 | |
| (318) 339-9941 |
| Full Name | Susan A Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2801 Fourth St Ste 2, Jonesville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396794723 | NPI | - | NPPES |
| 1623814 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP04515 (Louisiana) | Primary |
| Entity Name | Tillman Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260615 PECOS PAC ID: 9739179730 Enrollment ID: O20040723000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Davis, FNP 2801 Fourth St Ste 2, Jonesville, LA 71343-2027 Ph: (318) 339-9901 | Susan A Davis, FNP 2801 Fourth St Ste 2, Jonesville, LA 71343-2027 Ph: (318) 339-9901 |
Mrs. Lauren King, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Fourth St, Jonesville, LA 71343 Phone: 318-403-6080 Fax: 318-403-6087 | |
Mr. Evan C Ashley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Fourth St, Jonesville, LA 71343 Phone: 318-403-6080 Fax: 318-403-6087 |