JEANETTE L NAQUIN (NPI# 1215284963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215284963 |
| Entity Type | Individual |
| Full Name | JEANETTE L NAQUIN |
| Credential | FNP-C |
| Practice Address |
128 Neuroscience Ct Gray LA 70359-5209 |
| Mailing Address |
Po Box 4051 Houma LA 70361-4051 |
| Practice Telephone | 9859173007 |
| Practice Fax Number | 9859173010 |
| Mailing Telephone | 9859173007 |
| Mailing Fax Number | 9859173010 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07026 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2348132 | 05 |
| Street Address |
128 NEUROSCIENCE CT |
| City | GRAY |
| State | LA |
| Zip Code | 70359-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509818 | Edward Stewart Haight | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2005-06-24 |
| 1518566025 | Taylor Michelle Tanner | Physician Assistant | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2020-10-26 |
| 1114530722 | Kallie E Landry | Physician Assistant | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2020-08-25 |
| 1750467007 | Wendy Suddeth Gervais | Radiology | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2006-10-30 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| 1750387676 | Donald Severinus Gervais Jr. | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1265985915 | Gavin Triche | Physician Assistant | 128 Neuroscience Court, Gray, LA 70359 | 2016-07-29 |
| 1992939367 | Donna Marie Pugh | Health Maintenance Organization | 216 Champion St, Gray, LA 70359 | 2009-05-13 |
| 1700877297 | Ultrasound Enterprise LLC | Radiology | 165 Frontage Road, Suite B, Gray, LA 70359 | 2005-11-02 |
| 1083610364 | Imaging Center of South Louisiana, LLC | Radiology | 114 Neuroscience Court, Gray, LA 70359 | 2005-06-22 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1275039695 | Lashekia J Toussaint | Nurse Practitioner | 137 Marietta Pl, Gray, LA 70359-3119 | 2018-04-04 |
| 1063629772 | Tri-parish Orthopedic & Neurosurgical Institute,llc | Specialist | 115 Eureka Dr, Gray, LA 70359-3247 | 2007-05-16 |
| 1609125566 | Britany Keyon Jackson | Pharmacist | 309 Linda Ann Ave, Gray, LA 70359-3316 | 2012-09-06 |
| 1144612995 | Sade Verdin | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-02 |
| Find all providers in zip 70359 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934834 | Marianne Kimes | Nurse Practitioner | 798 Mckay Rd, Gray, GA 31032-3816 | 2019-04-15 |
| 1942717152 | Vickie Ann Mills | Nurse Practitioner | 147 Smith Hollow Rd, Gray, KY 40734-6574 | 2018-01-09 |
| 1457781353 | Kathryn Baker | Nurse Practitioner | 10755 N. Us Hwy 25e, Gray, KY 40734-7032 | 2013-11-14 |
| 1275673873 | Andree Elizabeth Leblanc | Nurse Practitioner | 123 Frontage Road A, Gray, LA 70359-6301 | 2007-02-06 |
| 1205905254 | Edna Eugenia Stewart | Nurse Practitioner | 39 Cumberland Gap Plaza, Gray, KY 40734-1401 | 2006-11-06 |
| 1740383157 | William Joseph Cote | Nurse Practitioner | 132 Old Gray Station Road, Gray, TN 37615-3434 | 2006-09-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| 1497382162 | Rebecca Ann Alexander | Nurse Practitioner | 132 Old Gray Station Rd, Gray, TN 37615-3434 | 2020-03-24 |
| 1578195467 | Rachel A Edwards | Nurse Practitioner | 2103 Forest Dr Ste 5, Gray, TN 37615-8423 | 2020-02-07 |
| 1972069722 | Courtney Carroll | Nurse Practitioner | 2103 Forest Dr Ste 5, Gray, TN 37615-8423 | 2019-02-18 |
| Find all providers in GRAY | ||||
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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.