Porscha Nicole Branch (NPI# 1104316819, PAC ID# 8921333865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104316819 |
| PAC ID by PECOS | 8921333865 |
| Professional Enrollment ID | I20190715001166 |
| Full Name | Porscha Nicole Branch |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Address |
4077 Jefferson Ave Texarkana AR 71854-1509 |
| Phone Number | 8703309200 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820038565 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450200 | WADLEY REGIONAL MEDICAL CENTER |
| 450801 | CHRISTUS ST MICHAEL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 8703309200 | EAST TEXAS BORDER HEALTH CLINIC |
| Organization Legal Name | EAST TEXAS BORDER HEALTH CLINIC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Moore | Nurse Practitioner | East Texas Border Health Clinic | 805 Lindsey Dr, Marshall, TX 75670-5271 |
| Lindsey L Montgomery | Clinical Social Worker | East Texas Border Health Clinic | 618 S Grove St, Suite 100and300, Marshall, TX 75670-5294 |
| Whitney P Rosenbaum | Clinical Social Worker | East Texas Border Health Clinic | 1205 E 35th St, Genesis Primecare, Texarkana, AR 71854-2746 |
| Antonio D Ingram | Nurse Practitioner | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Tiffany L Griffin | Nurse Practitioner | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Jay W Harvey | Family Medicine | East Texas Border Health Clinic | 811 S Washington Ave, Genesis Primecare, Marshall, TX 75670-5336 |
| Kari L Kennel | Nurse Practitioner | East Texas Border Health Clinic | 2131 S Mobberly Ave, Longview, TX 75602-3563 |
| Nita Ann Little | Nurse Practitioner | East Texas Border Health Clinic | 106 N Alley St, Genesis Primcare, Jefferson, TX 75657-1408 |
| Lloyd M Fruge | Family Medicine | East Texas Border Health Clinic | 1011 S William St, Genesis Primcare, Atlanta, TX 75551-3245 |
| Gloria J Cunningham | Clinical Social Worker | East Texas Border Health Clinic | 1400 College Dr, Suite 204, Texarkana, TX 75503-3575 |
| Street Address |
4077 JEFFERSON AVE |
| City | TEXARKANA |
| State | AR |
| Zip | 71854-1509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn E Brannan | Nurse Practitioner | C H Wilkinson Physician Network | 4077 Jefferson Ave, Texarkana, AR 71854-1509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kizer Contrel Neal | Clinical Social Worker | 4613 Pkwy Dr, Suite 5, Texarkana, AR 71854-1142 | |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Matthew W Nix | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Mylene Crouthamel | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Sondra G Bedwell | Nurse Practitioner | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Russell E Mayo | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Cheryl K Verma | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Michael R Downs | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Deanna Robin Padgett | Nurse Practitioner | Quapaw House Inc | 4323 Jefferson Ave, Texarkana, AR 71854-1515 |
| Jody A Barham | Nurse Practitioner | Preferred Family Healthcare Inc | 4323 Jefferson Ave, Texarkana, AR 71854-1515 |
| Find all physicians in zip 71854 | |||
| City | TEXARKANA |
| Zip Code | 71854 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TEXARKANA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Porscha Nicole Branch.
| 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.