Lauren Deville Wiley (NPI# 1932686086, PAC ID# 9234478546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932686086 |
| PAC ID by PECOS | 9234478546 |
| Professional Enrollment ID | I20190305000350 |
| Full Name | Lauren Deville Wiley |
| Organization Legal Name | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| Address |
2104 Cleco St Mansura LA 71350-4451 |
| Phone Number | 3189642551 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597767244 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190099 | AVOYELLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2104 Cleco St, Mansura, LA 71350-4451 | 3189642551 | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| 457 W Waddil St, Suite A, Marksville, LA 71351-2619 | 8004620742 | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| 417 N Martin Luther King Dr, Simmesport, LA 71369-2181 | 3189412336 | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| Organization Legal Name | LOUISIANA HEALTH CARE PRACTITIONERS LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anastasia Guillory Jeansonne | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 457 W Waddil St, Suite A, Marksville, LA 71351-2619 |
| Jamie Bernard Garrett | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 2104 Cleco St, Mansura, LA 71350-4451 |
| Melanie Welch | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Herndon Martin Jeansonne Ii | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 417 N Martin Luther King Dr, Simmesport, LA 71369-2181 |
| Aimee Voiselle | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Chad Paul Gauthier | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Shannon Hubbard Rozas | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Kendell Fisher | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Kristen Bordelon Jeansonne | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Mica M Mcdaniel | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 1007 Sycamore St, Cottonport, LA 71327-3403 |
| Street Address |
2104 CLECO ST |
| City | MANSURA |
| State | LA |
| Zip | 71350-4451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Bernard Garrett | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 2104 Cleco St, Mansura, LA 71350-4451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greta G Gremillion | Occupational Therapy | Lemoine Therapy Services of Cenla Inc | 7406 Hwy 1, Suite 102, Mansura, LA 71350-4204 |
| City | MANSURA |
| Zip Code | 71350 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANSURA + NURSE PRACTITIONER |
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| 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.