MR. GLENN WILSON LANCLOS (NPI# 1215180211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215180211 |
Entity Type | Individual |
Full Name | MR. GLENN WILSON LANCLOS |
Credential | FNP-C |
Practice Address |
1105 Northwest Blvd Franklin LA 70538 |
Practice Telephone | 3379076338 |
Mailing Telephone | 3379076338 |
Enumeration Date | 2008-11-04 |
Last Update Date | 2013-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05639 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2336720 | 05 |
Street Address |
1105 NORTHWEST BLVD |
City | FRANKLIN |
State | LA |
Zip Code | 70538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932161718 | Teche Diagnostic Imaging Center LLC | Clinical Medical Laboratory | 1105 Northwest Blvd, Franklin, LA 70538-3409 | 2006-04-05 |
1275099657 | Melissa Barber | Nurse Practitioner | 1105 Northwest Blvd, Franklin, LA 70538-3409 | 2019-02-11 |
1093977712 | Timothy J. Haley IIi Md Apmc | Radiology | 1105 Northwest Blvd, Franklin, LA 70538-3409 | 2008-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154790327 | Bogalusa Rehabilitation Hospital LLC | Rehabilitation Hospital | 604 Palfrey Street, Franklin, LA 70538 | 2015-09-17 |
1720325855 | Thomas Frere Kramer | Obstetrics & Gynecology | 4484 Irish Bend Rd., Franklin, LA 70538 | 2013-01-09 |
1073797098 | Jaba Enterprises Inc | Home Health | 1101 Northwest Blvd, Franklin, LA 70538 | 2007-12-27 |
1578784195 | Jeffrey Neil Jordan | Clinic/Center | 1600 Hospital Avenue, Franklin, LA 70538 | 2007-05-01 |
1508948852 | Kira P Ridgley | Physician Assistant | 1105 Northwest Blvd., Franklin, LA 70538 | 2006-10-19 |
1871602581 | John Neal Boudreaux | Dentist | 600 Haifleigh St, Franklin, LA 70538 | 2006-08-29 |
1891273850 | Demetra Smith | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-08-01 |
1497244891 | Ashley Burkhart | Counselor | 75 Main St, Franklin, LA 70538 | 2018-05-02 |
1710474036 | Fallon Hoskins-august | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-04-23 |
1275035032 | Earolyn Ann Choate | Case Manager/Care Coordinator | 75 Main St, Franklin, LA 70538 | 2018-03-07 |
Find all providers in zip 70538 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787672 | Jeremy Ambrose Paluch | Nurse Practitioner | 120 Holiday Ct Ste 2, Franklin, TN 37067-1302 | 2020-10-13 |
1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
1326684788 | Jessica Bledsoe | Nurse Practitioner | 3326 Aspen Grove Dr Ste 260, Franklin, TN 37067-2866 | 2019-11-20 |
1407405483 | Ashley Faren Maleport | Nurse Practitioner | 501 Corporate Centre Dr Ste 400, Franklin, TN 37067-2659 | 2019-09-11 |
1720548415 | Shoua Dorothy Hang | Nurse Practitioner | 9379 S 35th St, Franklin, WI 53132-9151 | 2019-03-20 |
1528527868 | Anna Bliss Eberle | Nurse Practitioner | 221 Augusta National Ct, Franklin, TN 37069-7019 | 2019-03-16 |
1558834226 | Teresa Gail Triantafilu | Nurse Practitioner | 125 Cool Springs Blvd Ste 100, Franklin, TN 37067-6475 | 2019-01-06 |
1285132837 | Leslie Michelle Beagle | Nurse Practitioner | 325 Minute Man, Franklin, IN 46131-6600 | 2018-01-29 |
1629583984 | Robin Renee Holbrook | Nurse Practitioner | 714 Wayside Ct, Franklin, TN 37069-8105 | 2017-12-08 |
1992255764 | Ashley Deangelis Gussoni | Nurse Practitioner | 125 Cool Springs Blvd Ste 240, Franklin, TN 37067-6475 | 2016-10-05 |
Find all providers in FRANKLIN |
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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.