Donna Boudreaux Wilson (NPI# 1982196432, PAC ID# 0648524017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982196432 |
| PAC ID by PECOS | 0648524017 |
| Professional Enrollment ID | I20181121002015 |
| Full Name | Donna Boudreaux Wilson |
| Organization Legal Name | TECHE ACTION BOARD INC |
| Address |
2555 Hwy 18 Edgard LA 70049-2417 |
| Phone Number | 9852671093 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648163980 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190008 | TERREBONNE GENERAL MEDICAL CENTER |
| 190183 | LEONARD J CHABERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 159 E 3rd St, Edgard, LA 70049-2450 | 9854978726 | TECHE ACTION BOARD INC |
| 2555 Hwy 18, Edgard, LA 70049-2417 | 9852671093 | TECHE ACTION BOARD INC |
| Organization Legal Name | TECHE ACTION BOARD INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Geesling Bergeron | Nurse Practitioner | Teche Action Board Inc | 1124 7th St, Morgan City, LA 70380-1951 |
| Elizabeth Rousseve | Nurse Practitioner | Teche Action Board Inc | 159 E 3rd St, Edgard, LA 70049-2450 |
| Rhonda F Lombas | Nurse Practitioner | Teche Action Board Inc | 1709 Ridgefield Rd, Thibodaux, LA 70301-4333 |
| Shannon N Amacker | Nurse Practitioner | Teche Action Board Inc | 471 Central Ave, Reserve, LA 70084-5509 |
| Jennifer R Millet | Nurse Practitioner | Teche Action Board Inc | 1014 W Tunnel Blvd, Houma, LA 70360-4050 |
| Jason M Scioneaux | Nurse Practitioner | Teche Action Board Inc | 3617 Hwy 70 S, Pierre Part, LA 70339-4455 |
| Gary M Wiltz | Internal Medicine | Teche Action Board Inc | 1115 Weber St, Franklin, LA 70538-4124 |
| Ronald C Marts | Internal Medicine | Teche Action Board Inc | 189 Mozart Dr, Houma, LA 70363-7990 |
| Beau James Leonard | Nurse Practitioner | Teche Action Board Inc | 1709 Ridgefield Rd, Thibodaux, LA 70301-4333 |
| Candice C Miller | Nurse Practitioner | Teche Action Board Inc | 1124 7th St, Morgan City, LA 70380-1951 |
| Street Address |
2555 HWY 18 |
| City | EDGARD |
| State | LA |
| Zip | 70049-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Rousseve | Nurse Practitioner | Teche Action Board Inc | 159 E 3rd St, Edgard, LA 70049-2450 |
| Roxie L Hill | Nurse Practitioner | Teche Action Board Inc | 159 E 3rd St, Edgard, LA 70049-2450 |
| City | EDGARD |
| Zip Code | 70049 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EDGARD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Donna Boudreaux Wilson.
| 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.