| Wanda Lynn Pezant, APRN | |
|
3501 Highway 10, Jackson, LA 70748-6238 | |
| (225) 683-5292 | |
| (225) 683-3411 |
| Full Name | Wanda Lynn Pezant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3501 Highway 10, Jackson, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013266162 | NPI | - | NPPES |
| 2318543 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0812093 (Louisiana) | Primary |
| Entity Name | Convenient Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| Entity Name | Lourdes After Hours Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649297730 PECOS PAC ID: 5496704553 Enrollment ID: O20050114000648 |
| Entity Name | Lsuhn Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
| Entity Name | Lake Urgent Care Ascension Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Entity Name | Lcmc Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184162877 PECOS PAC ID: 9234406125 Enrollment ID: O20170524002543 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Lynn Pezant, APRN Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Wanda Lynn Pezant, APRN 3501 Highway 10, Jackson, LA 70748-6238 Ph: (225) 683-5292 |
Candace Biggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5002 Highway 10, Jackson, LA 70748 Phone: 225-245-2878 | |
Robert William Papcsy Iii, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5002 Highway 10, Jackson, LA 70748 Phone: 225-634-4017 | |
Krista Phillips Connell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3501 Highway 10, Jackson, LA 70748 Phone: 225-683-5292 Fax: 225-683-3411 | |
Latasha Dinyel Shavers, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4502 Hwy 951, Jackson, LA 70748 Phone: 225-634-0100 |