| Tracie Roussel O'bannon, | |
|
735 Highway 30 Ste D, Saint Gabriel, LA 70776-5015 | |
| (225) 314-9314 | |
| Not Available |
| Full Name | Tracie Roussel O'bannon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 735 Highway 30 Ste D, Saint Gabriel, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700743101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 245084 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Roussel O'bannon, 39041 Balmoral Dr, Prairieville, LA 70769-4854 Ph: () - | Tracie Roussel O'bannon, 735 Highway 30 Ste D, Saint Gabriel, LA 70776-5015 Ph: (225) 314-9314 |
Mrs. Lisa Zobrist Wilson, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8980 Manchac Rd, Saint Gabriel, LA 70776 Phone: 225-229-8589 | |
Shambrel Nicole Bates, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5760 Monticello Dr, Saint Gabriel, LA 70776 Phone: 225-642-9676 | |
Ms. Polly Bush Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6925 Highway 74, Saint Gabriel, LA 70776 Phone: 225-642-3306 Fax: 225-319-4595 | |
Latonya C Monroe, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Monticello Dr, Saint Gabriel, LA 70776 Phone: 225-642-9676 Fax: 225-642-9696 | |
Mrs. Audrey Bon Stansbury, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Monticello Dr, Saint Gabriel, LA 70776 Phone: 225-247-3491 Fax: 225-756-5335 | |
Ashley Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 735 Highway 30 Bldg 1, Saint Gabriel, LA 70776 Phone: 225-314-9314 Fax: 225-398-5022 |