Eva Jefferson (NPI# 1912305582, PAC ID# 6204110570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912305582 |
| PAC ID by PECOS | 6204110570 |
| Professional Enrollment ID | I20170306000393 |
| Full Name | Eva Jefferson |
| Organization Legal Name | ST GABRIEL HEALTH CLINIC INC |
| Address |
5760 Monticello St St Gabriel LA 70776-0209 |
| Phone Number | 2256429676 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830008416 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5760 Monticello St, St Gabriel, LA 70776-0209 | 2256429676 | ST GABRIEL HEALTH CLINIC INC |
| Organization Legal Name | ST GABRIEL HEALTH CLINIC INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Green | Nurse Practitioner | St Gabriel Health Clinic Inc | 5760 Monticello St, St Gabriel, LA 70776-0209 |
| Shirley F Wade | Nurse Practitioner | St Gabriel Health Clinic Inc | 5760 Monticello St, St Gabriel, LA 70776-0209 |
| Street Address |
5760 MONTICELLO ST |
| City | ST GABRIEL |
| State | LA |
| Zip | 70776-0209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Green | Nurse Practitioner | St Gabriel Health Clinic Inc | 5760 Monticello St, St Gabriel, LA 70776-0209 |
| Shirley F Wade | Nurse Practitioner | St Gabriel Health Clinic Inc | 5760 Monticello St, St Gabriel, LA 70776-0209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arun Nangia | Neurology | Garden State Neurology and Neuro-oncology, PC | 100 State Hwy 36 E, Suite 1a, West Long Branch, NJ 70776-1453 |
| Kaitlyn A Reiff | Nurse Practitioner | Garden State Neurology and Neuro-oncology, PC | 100 State Hwy 36 E, Suite 1a, West Long Branch, NJ 70776-1453 |
| City | ST GABRIEL |
| Zip Code | 70776 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST GABRIEL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Eva Jefferson.
| 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.