| Tracy B Bourg, NP | |
|
3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | |
| (504) 349-6900 | |
| (504) 340-4305 |
| Full Name | Tracy B Bourg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3909 Lapalco Blvd, Harvey, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871744854 | NPI | - | NPPES |
| 1964 | Other | LA | TEMP NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1964 (Louisiana) | Primary |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy B Bourg, NP 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 Ph: (504) 349-6900 | Tracy B Bourg, NP 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 Ph: (504) 349-6900 |
Taisha Nelson Coffil, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Manhattan Blvd Ste 200, Harvey, LA 70058 Phone: 504-354-5252 Fax: 504-354-5253 | |
Mrs. Karen S. Lambousy, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1804 Lake Superior Dr, Harvey, LA 70058 Phone: 504-905-4907 Fax: 504-265-9462 | |
Ms. Debra Schexnayder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058 Phone: 504-349-6613 Fax: 504-349-6614 | |
Alisha Michelle Cannon Arena, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Manhattan Blvd Ste 202, Harvey, LA 70058 Phone: 504-912-5360 | |
Angela S Miserendino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058 Phone: 504-349-6613 Fax: 504-349-6614 | |
Mrs. Elizabeth Voss Jackel, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 8th St, Harvey, LA 70058 Phone: 504-367-4407 Fax: 504-367-4327 | |
Ms. Valencia Thompson, MSN APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3824 Chinkapin St, Harvey, LA 70058 Phone: 504-975-9048 |