| Tajan Calais Hayter, NP | |
|
1013 College Ave, Jacksonville, TX 75766-3307 | |
| (903) 451-2571 | |
| (903) 284-6830 |
| Full Name | Tajan Calais Hayter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1013 College Ave, Jacksonville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649805235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP144175 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | AP144175 (Texas) | Secondary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Tajan Calais Hayter, NP Po Box 2709, Longview, TX 75606-2709 Ph: (903) 212-7800 | Tajan Calais Hayter, NP 1013 College Ave, Jacksonville, TX 75766-3307 Ph: (903) 451-2571 |
Mr. Jacob Martin Cabrera, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4500 | |
Mrs. Traci Cameron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766 Phone: 903-541-5455 Fax: 903-541-5456 | |
Crystal Christopher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1517 E Rusk St, Jacksonville, TX 75766 Phone: 430-808-0508 | |
Deborah Garganera Ledesma, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 | |
Pamela D Mackay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Victoria O Obianwu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 S Jackson St, Jacksonville, TX 75766 Phone: 430-205-4150 | |
Mabel N. Nwachukwu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 College Ave, Jacksonville, TX 75766 Phone: 903-586-9000 |