WANDA LYNN PEZANT (NPI# 1013266162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013266162 |
| Entity Type | Individual |
| Full Name | WANDA LYNN PEZANT |
| Credential | APRN |
| Practice Address |
3501 Highway 10 Jackson LA 70748-6238 |
| Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2256835292 |
| Practice Fax Number | 2256833411 |
| Mailing Telephone | 2256835292 |
| Mailing Fax Number | 2256833411 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0812093 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2318543 | 05 |
| Street Address |
3501 HIGHWAY 10 |
| City | JACKSON |
| State | LA |
| Zip Code | 70748-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258043 | Primary Care Providers for A Healthy Feliciana I | Family Medicine | 3501 Highway 10, Jackson, LA 70748-6238 | 2006-09-21 |
| 1972143196 | Aslyn Nicole George | Registered Nurse | 3501 Highway 10, Jackson, LA 70748-6238 | 2020-01-15 |
| 1265097844 | Brittney Dlacia Bell | Registered Nurse | 3501 Highway 10, Jackson, LA 70748-6238 | 2019-05-08 |
| 1942676911 | Katherine L Perkins | Nurse Practitioner | 3501 Highway 10, Jackson, LA 70748-6238 | 2015-08-13 |
| 1194074252 | Katie Lynn Brabham | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2012-09-05 |
| 1013299502 | Randi C Leblanc | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2011-09-12 |
| 1033498183 | Allison B Coleman | Social Worker | 3501 Highway 10, Jackson, LA 70748-6238 | 2011-08-08 |
| 1881733673 | Krista Phillips Connell | Nurse Practitioner | 3501 Highway 10, Jackson, LA 70748-6238 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114380979 | Natashia Folse | Counselor | 3365 Market St., Jackson, LA 70748 | 2016-03-30 |
| 1457674368 | Charles Harold Martin | Social Worker | 4739 Hwy 10, Jackson, LA 70748 | 2010-03-05 |
| 1497966576 | Dahn Savell | Social Worker | 4502 Hwy. 10, Jackson, LA 70748 | 2007-05-24 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1043337538 | Gregory J Dolese | Pharmacist | 4052 Hwy 951, 200 Building, Jackson, LA 70748 | 2007-03-22 |
| 1609914902 | Waylon Morris Parker | Pediatrics | 5002 Highway 10, Villa Feliciana Medical Complex, Jackson, LA 70748 | 2007-02-01 |
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1639228174 | Villa Feliciana Medical Complex | Long Term Care Hospital | 5002 Hwy 10, Jackson, LA 70748 | 2007-01-10 |
| 1457420879 | Feliciana Consultants, Inc. | Home Health | 3613 College Street, Jackson, LA 70748 | 2006-11-07 |
| 1073539300 | Patrick G Mccrossen | Dentist | 4502 Louisiana Hwy 951, Jackson, LA 70748 | 2006-07-13 |
| Find all providers in zip 70748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.