| Taylor R Goudeau, CNP | |
|
10410 Plank Rd, Clinton, LA 70722-3710 | |
| (225) 683-8877 | |
| (225) 683-1349 |
| Full Name | Taylor R Goudeau |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10410 Plank Rd, 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 |
|---|---|---|---|
| 1629769252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 232377 (Louisiana) | Primary |
| Entity Name | Primary Care Providers For A Healthy Feliciana Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor R Goudeau, CNP 4311 Delee Ln, Ethel, LA 70730-3226 Ph: (225) 719-6353 | Taylor R Goudeau, CNP 10410 Plank Rd, Clinton, LA 70722-3710 Ph: (225) 683-8877 |
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. Shannon N Amacker, FNP 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 |