MRS. JENNIFER LANE GILLY (NPI# 1558617761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558617761 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LANE GILLY |
| Other Name | JENNIFER ANN LANE |
| Credential | FNP-C |
| Practice Address |
4429 Clara Street New Orleans LA 70115 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 5048425300 |
| Practice Fax Number | 5047795528 |
| Mailing Telephone | 5048424000 |
| Mailing Fax Number | 5047795528 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06960 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05431857 | 05 | |
| LA | 2323849 | 05 |
| Street Address |
4429 CLARA STREET |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174589824 | Bridget A Bagert | Psychiatry & Neurology | 4429 Clara Street, # 440, New Orleans, LA 70115-6973 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102030 | Molvie Greene | Nurse Practitioner | 10 Fairway Oaks Dr, New Orleans, LA 70131-3336 | 2020-04-15 |
| 1942832324 | Latonya Darensbourg | Nurse Practitioner | 2601 Gentilly Blvd, New Orleans, LA 70122-3043 | 2020-02-04 |
| 1659901346 | Roma L Victor | Nurse Practitioner | 214 Topaz St, New Orleans, LA 70124-2634 | 2020-01-22 |
| 1740831916 | Trish E Dauphin | Nurse Practitioner | 3405 St.claude, New Orleans, LA 70117-7011 | 2019-09-27 |
| 1215582309 | Christine Payton | Nurse Practitioner | 3969 Mimosa Dr, New Orleans, LA 70131-8311 | 2019-08-06 |
| 1851952410 | Nola Central City Clinic | Nurse Practitioner | 1301 Simon Bolivar Ave Apt 227, New Orleans, LA 70113-2272 | 2019-06-25 |
| 1003389628 | Premier Medical Clinics | Nurse Practitioner | 3405 Saint Claude Ave Ste C, New Orleans, LA 70117-6144 | 2019-01-07 |
| 1578043444 | Miranda Renee Willis | Nurse Practitioner | 5646 Read Blvd # 280, New Orleans, LA 70127-3106 | 2018-08-20 |
| 1417434333 | Meghan Traylor | Nurse Practitioner | 411 N Carrollton Ave Ste 4, New Orleans, LA 70119-4754 | 2018-07-24 |
| 1215422324 | Kenneth Sehon | Nurse Practitioner | 1514 Jefferson Hwy, Ct 6, New Orleans, LA 70121-2429 | 2018-06-30 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on MRS. JENNIFER LANE GILLY.
| 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.