JED MICHAEL GUILLORY


Address: 1701 Oak Park Blvd, Lake Charles, LA 70601-8911
Phone: 3374943000

JED MICHAEL GUILLORY (NPI# 1902450851) 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) 1902450851
Entity Type Individual
Full Name JED MICHAEL GUILLORY
Credential FNP-C
Practice Address 1701 Oak Park Blvd
Lake Charles
LA 70601-8911
Mailing Address 4788 W Nick Claire Ln
Iowa
LA 70647-5148
Practice Telephone 3374943000
Mailing Telephone 3374886843
Enumeration Date 2019-07-29
Last Update Date 2019-07-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
207008 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1701 OAK PARK BLVD
City LAKE CHARLES
State LA
Zip Code 70601-8911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972549855 Southwest Louisiana Hospital Association General Acute Care Hospital 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2006-06-21
1699386672 Alexis Batiste Nurse Anesthetist, Certified Registered 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2020-08-12
1912530510 Kathryn Claire Anderson Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2020-02-21
1598328189 Joshua Clayton Gray Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2019-04-18
1750846663 Memorial Medical Group, LLC Family Medicine 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2019-02-05
1306331004 Austin Goings Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-06-25
1649767724 Melanie Bousegard White Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-04-16
1518461706 Brandon Shea Blanchard Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-03-21
1790293645 Lauren Courville Nurse Practitioner 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2018-01-12
1609382589 Caitlin L Lafleur Specialist/Technologist 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 2017-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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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
1942819131 Alisha Bernard Nurse Practitioner 2469 Topsy Rd, Lake Charles, LA 70611-5724 2020-07-24
1699396473 Patricia Duhon Nurse Practitioner 814 W Mcneese St Ste 100, Lake Charles, LA 70605-5426 2020-05-03
1134750052 Lauren Goodaker Nurse Practitioner 230 W Sale Rd, Lake Charles, LA 70605-2828 2020-01-29
1043867997 Cynthia Trahan Cox Nurse Practitioner 730 Tallow Rd, Lake Charles, LA 70607-7038 2019-08-23
1770145526 Lexie Miller Nurse Practitioner 1874 Poeyfarre Rd, Lake Charles, LA 70611-4698 2019-07-02
1477116036 Sarah Ardoin Bardin Nurse Practitioner 401 Dr Michael Debakey Dr Ste 300, Lake Charles, LA 70601-5864 2019-04-19
1194288266 Lauryn Caitlin Leslie Nurse Practitioner 333 Doctor Michael Debakey Dr Ste 140, Lake Charles, LA 70601-5889 2019-04-07
1649735234 Kayleigh Paige Head Nurse Practitioner 1000 Walters St Rm 204, Lake Charles, LA 70607-4647 2019-02-07
1548734270 Traci L. Johnson Nurse Practitioner 4150 Nelson Rd Ste 5, Lake Charles, LA 70605-4148 2019-01-16
1730662305 Brandy Laurice Semien Nurse Practitioner 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 2018-09-10
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70601

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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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