Provider Demographics
NPI:1174754824
Name:LAMBERT, JANNA CARPENTER (FNP)
Entity type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:CARPENTER
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 LOOP RD STE C
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-3344
Mailing Address - Country:US
Mailing Address - Phone:318-467-9949
Mailing Address - Fax:318-467-2093
Practice Address - Street 1:2106 LOOP RD
Practice Address - Street 2:SUITE C
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-3344
Practice Address - Country:US
Practice Address - Phone:318-467-9949
Practice Address - Fax:318-467-2093
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05820363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1800368Medicaid
12411631OtherCAQH