Jennie L Dedon (NPI# 1699019653, PAC ID# 5799918835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699019653 |
| PAC ID by PECOS | 5799918835 |
| Professional Enrollment ID | I20140425001321 |
| Full Name | Jennie L Dedon |
| Organization Legal Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC. |
| Address |
11990 Jackson St Clinton LA 70722-3210 |
| Phone Number | 2256835292 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052220985 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190020 | LANE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11990 Jackson St, Clinton, LA 70722-3210 | 2256835292 | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC. |
| Organization Legal Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC. |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Thomas | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Tiffini A Lundy | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 29437 Hwy 63 14, Livingston, LA 70754 |
| Shenita L Paynes | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 10701 Reiley St, Clinton, LA 70722-3507 |
| George T Mcknight | Internal Medicine | Primary Care Providers for A Healthy Feliciana Inc. | 203 Allendale Dr, Port Allen, LA 70767-3219 |
| Stella E Brown | Clinical Social Worker | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Mollie Geren Butler | Clinical Social Worker | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| John Gary Chaney | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Darie S Gilliam | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Myia E Bozeman | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| William D Dart Jr. | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Street Address |
11990 JACKSON ST |
| City | CLINTON |
| State | LA |
| Zip | 70722-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Thomas | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Stella E Brown | Clinical Social Worker | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Mollie Geren Butler | Clinical Social Worker | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| John Gary Chaney | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Darie S Gilliam | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Myia E Bozeman | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| William D Dart Jr. | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Ginger A Hunt | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Mary Lou Guillot | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Bettie T Blackmon | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Faures Rathbone | General Surgery | 11323 Church St, Clinton, LA 70722-3124 | |
| Barbara F Beckham | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Kimberly F Robinson | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Adam D Shorts | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Jai Sharra Lianne Bryant | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Judy Hornbostel Baker | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Norshern Bruce | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Heather C Huckaby | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Mary N Throndson | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Shelly C Williams | Nurse Practitioner | Primary Care Providers for A Healthy Feliciana Inc. | 11990 Jackson St, Clinton, LA 70722-3210 |
| Find all physicians in zip 70722 | |||
| City | CLINTON |
| Zip Code | 70722 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennie L Dedon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.