MRS. CANDICE COCO DESSELLE (NPI# 1265970719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265970719 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE COCO DESSELLE |
| Credential | APRN |
| Practice Address |
3330 Masonic Dr Alexandria LA 71301-3841 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3184834090 |
| Mailing Telephone | 4692822713 |
| Mailing Fax Number | 4692822665 |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN127478 | LA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP09177 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3330 MASONIC DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
| 1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1225674427 | Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-11-22 |
| 1699317321 | Jacintha Nnadi | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-10-15 |
| 1548810617 | Catherine Cunningham Faucheaux | Counselor | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-19 |
| 1366091829 | Ashley Brazzell | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-08 |
| 1972158152 | Allison J Edwards | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-08-05 |
| 1548812829 | Jennifer Marie Murphy | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1568754885 | Valerie Bolton | Nurse Practitioner | 201 4th Street, Suite 5b, Alexandria, LA 71301-0000 | 2011-05-04 |
| 1083718159 | Vicky Dianne Wall | Nurse Practitioner | Dept. of Veterans Affairs Medical Center, Shreveport Hwy, Alexandria, LA 71306 | 2006-09-11 |
| 1972114874 | Angela Jones | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-08-13 |
| 1376198846 | Ji Eun Ahn | Nurse Practitioner | 2000 N Beauregard St Ste 360, Alexandria, VA 22311-1751 | 2019-08-01 |
| 1578037834 | Emily Joann Shumaker | Nurse Practitioner | 5226 Dawes Avenue, Alexandria, VA 22311 | 2019-01-18 |
| 1265930051 | Rena Patierno | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2018-01-26 |
| 1043733041 | Cameron Nichole Lewis | Nurse Practitioner | 5845 Richmond Hwy Ste 150, Alexandria, VA 22303-1868 | 2017-07-21 |
| 1467836478 | Kallyn Jones Harris | Nurse Practitioner | 211 4th St, Alexandria, LA 71301-8421 | 2015-07-20 |
| 1770970097 | Elizabeth S. Dunning | Nurse Practitioner | 4660 Kenmore Ave Ste 1200, Alexandria, VA 22304-1311 | 2015-04-24 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on MRS. CANDICE COCO DESSELLE.
| 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.