| Traci Taylor Gray, AGNP-C | |
|
307 Carpenter St, Jena, LA 71342-7143 | |
| (318) 481-5724 | |
| (318) 257-1468 |
| Full Name | Traci Taylor Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 307 Carpenter St, Jena, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831759547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 206362 (Louisiana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 206362 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lasalle General Hospital | Jena, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winn Community Health Center, Inc. | 2567516545 | 48 |
| Entity Name | Winn Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Taylor Gray, AGNP-C 307 Carpenter St, Jena, LA 71342-7143 Ph: (318) 481-5724 | Traci Taylor Gray, AGNP-C 307 Carpenter St, Jena, LA 71342-7143 Ph: (318) 481-5724 |
Kathy Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Ninth St, Jena, LA 71342 Phone: 318-992-9200 Fax: 318-992-9245 | |
Clint Cooksey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 187 Ninth St, Jena, LA 71342 Phone: 318-992-9200 | |
Mrs. Allison Kendrick Stelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Ninth St, Suite J, Jena, LA 71342 Phone: 318-992-4275 | |
Mrs. Kristen Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Ninth St, Jena, LA 71342 Phone: 318-992-6311 | |
Mrs. Janee Danielle Smith, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Pinehill Rd, Jena, LA 71342 Phone: 318-992-7613 | |
Mrs. Tina Ann Perron, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Pinehill Rd, Jena, LA 71342 Phone: 318-992-7604 Fax: 318-992-1214 | |
Mr. Quintin Craig Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3662 W Oak St, Jena, LA 71342 Phone: 318-495-2273 |