LYNNE M TALLEY (NPI# 1720419203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720419203 |
| Entity Type | Individual |
| Full Name | LYNNE M TALLEY |
| Credential | APRN,FNP-C |
| Practice Address |
200 Professional Dr West Monroe LA 71291-5359 |
| Mailing Address |
1107 Glenwood Dr West Monroe LA 71291-5503 |
| Practice Telephone | 3189666535 |
| Practice Fax Number | 3183227319 |
| Mailing Telephone | 3183963800 |
| Mailing Fax Number | 3183231511 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07585 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE NARCOTICS LICENSE | 045635 | 01 |
| LA | PGL TAX ID | 27-0345822 | 01 |
| LA | STATE LICENSE | AP07585 | 01 |
| LA | DEA | MT3352008 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 Glenwood Dr, West Monroe, LA 712915503 | 3183963800 | 3183231511 |
| 202 Highway 80 E, Calhoun, LA 712259101 | 3189668390 | 3189668391 |
| 9644 Highway 165 N, Sterlington, LA 712803185 | 3189668800 | 3189668801 |
| Street Address |
200 PROFESSIONAL DR |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881115 | Jen Bays Avis | Nutritionist | 200 Professional Dr, West Monroe, LA 71291-5359 | 2005-09-13 |
| 1801340351 | Katie Durbin Womack | Nurse Practitioner | 200 Professional Dr, West Monroe, LA 71291-5359 | 2016-08-12 |
| 1396082632 | Robert C. Ewing, M.d., LLC | Internal Medicine | 200 Professional Dr, West Monroe, LA 71291-5359 | 2013-01-07 |
| 1205925708 | Cardiovascular & Internal Medicine Associates, Inc | Internal Medicine | 200 Professional Dr, West Monroe, LA 71291-5359 | 2006-10-12 |
| 1720028616 | Robert Cosper Ewing | Internal Medicine | 200 Professional Dr, West Monroe, LA 71291 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
| 1457962805 | Whitney Joanne Scallan | Nurse Practitioner | 403 Teal Loop, West Monroe, LA 71291-9107 | 2020-08-10 |
| 1649880675 | Rebecca Hood | Nurse Practitioner | 801 Drago St, West Monroe, LA 71291-4323 | 2020-08-04 |
| 1346867785 | Lacresha Clay Earley | Nurse Practitioner | 132 Well Rd, West Monroe, LA 71291-9701 | 2020-07-01 |
| 1194341735 | Katherine C Dixon | Nurse Practitioner | 1390 Strozier Rd, West Monroe, LA 71291-8229 | 2020-06-19 |
| 1174149090 | Melissa Sue Brock | Nurse Practitioner | 139 Aaron Rd, West Monroe, LA 71292-3384 | 2020-06-17 |
| 1942825823 | Megan Danielle Pipes | Nurse Practitioner | 531 Harrell Rd, West Monroe, LA 71291-9739 | 2020-06-16 |
| 1194349548 | Jessica Lynn Brantley | Nurse Practitioner | 412 Evergreen St, West Monroe, LA 71292-6422 | 2020-06-02 |
| 1790307403 | Tiffany Johnson | Nurse Practitioner | 109 Stephanie Dr, West Monroe, LA 71291-6975 | 2020-05-15 |
| 1750900197 | Brian Moore Family Nurse Practitioner, LLC | Nurse Practitioner | 100 Westland Pl Ste A, West Monroe, LA 71291-5400 | 2020-04-15 |
| Find all providers in WEST MONROE | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
Please comment or provide details below to improve the information on LYNNE M TALLEY.
| 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.