KEN GREMILLION


Address: 309 Jackson St, Monroe, LA 71201-7407
Phone: 3189664541

KEN GREMILLION (NPI# 1649833583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649833583
Entity Type Individual
Full Name KEN GREMILLION
Credential NP
Practice Address 309 Jackson St
Monroe
LA 71201-7407
Practice Telephone 3189664541
Practice Fax Number 3189664541
Mailing Telephone 3189664541
Mailing Fax Number 3189664541
Enumeration Date 2019-04-16
Last Update Date 2019-04-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
204586 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 309 JACKSON ST
City MONROE
State LA
Zip Code 71201-7407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524367 Stephen Paul Blanchard Sr. Pathology 309 Jackson St, Monroe, LA 71201-7407 2005-08-10
1255949921 Shannon L Moe Registered Nurse 309 Jackson St, Monroe, LA 71201-7407 2020-07-20
1134756539 Carolinska Health Corporation Family Medicine 309 Jackson St, Monroe, LA 71201-7407 2020-03-25
1891257515 Ainsley L Manning Nurse Practitioner 309 Jackson St, Monroe, LA 71201-7407 2019-04-02
1295216018 Andrew Michael Fontenot Pharmacist 309 Jackson St, Monroe, LA 71201-7407 2018-08-29
1982180337 Amber Brooke Etheridge Registered Nurse 309 Jackson St, Monroe, LA 71201 2018-07-18
1578070363 Fmol Health Systems Pharmacy 309 Jackson St, Floor 1, Monroe, LA 71201-7407 2018-01-03
1104336460 Harikrishna Bandla Internal Medicine 309 Jackson St, Monroe, LA 71201-7407 2017-10-01
1285156760 Trisandhya Sharma Hospitalist 309 Jackson St, Monroe, LA 71201-7407 2017-07-17
1518489749 Anam Shahid Hospitalist 309 Jackson St, Monroe, LA 71201-7407 2017-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831035 Tammy Price Social Worker 414 Pine Street, Monroe, LA 71201 2020-04-30
1932749116 Emmanuel Brown Jr. Case Manager/Care Coordinator 2808 Evangeline Street, Monroe, LA 71201 2020-01-15
1063050961 James J Gregory Social Worker 4800 S Grand, Monroe, LA 71201 2019-12-11
1285271221 William Fairley Non-emergency Medical Transport (VAN) 1002 N. 7th St., Apt. 4, Monroe, LA 71201 2019-12-10
1619431715 Guidance Medical Transportation LLC Non-emergency Medical Transport (VAN) 1204 Stubbs Ave. Suite B, Monroe, LA 71201 2019-01-23
1184193286 Marnesha Davis Assistant Behavior Analyst 500 N. 21st Street, Monroe, LA 71201 2018-11-19
1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
1124502505 Orthopaedic Clinic of Monroe Non-Pharmacy Dispensing Site 1501 Louisville Ave., Monroe, LA 71201 2018-09-20
1699266643 Melissa Anne De La O Audiologist 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 2018-05-25
1588153738 Essential Family Medicine, LLC Nurse Practitioner 2014 Tower Dr. Ste A, Monroe, LA 71201 2018-05-03
Find all providers in zip 71201

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659972347 Alicia Mitchell Nurse Practitioner 1504 Sunset Dr, Monroe, LA 71202-3612 2020-11-08
1114526662 Angelina Fiszlewicz Nurse Practitioner 69 Bayberry Ln, Monroe, OH 45050-2521 2020-10-25
1447857636 Ashley Norsworthy Nurse Practitioner 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 2020-10-01
1417562711 Tarshia Timothy-jackson Nurse Practitioner 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 2020-09-13
1891307385 The Community Np LLC Nurse Practitioner 111 Kiowa St, Monroe, LA 71203-8565 2020-08-18
1083223457 Zydeco Healthcare LLC Nurse Practitioner 301 Winkler Way, Monroe, LA 71203-6530 2020-07-30
1194343442 Courtney Paige Miletello Nurse Practitioner 4015 Anna Kate Ln, Monroe, LA 71201-3810 2020-07-13
1942825831 Kristyn Devun Squyres Nurse Practitioner 1401 N 18th St Ste A, Monroe, LA 71201-4972 2020-06-16
1629603337 Emily Rebecca Buddemeyer Nurse Practitioner 814 N Macomb St Ste 1, Monroe, MI 48162-3085 2020-03-03
1760015572 Jessica Marie Hartle Nurse Practitioner 730 N Macomb St Ste 228, Monroe, MI 48162-3087 2020-02-20
Find all providers in MONROE

Competitor

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City MONROE
Zip Code 71201

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Dataset Information

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.

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