Provider Demographics
NPI:1447500293
Name:LAMBERT, JANA N (PNP)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:N
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MS
Other - First Name:JANA
Other - Middle Name:
Other - Last Name:MYERS-VINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:NEW LIANO
Mailing Address - State:LA
Mailing Address - Zip Code:71461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:919 S. 10TH ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446
Practice Address - Country:US
Practice Address - Phone:337-239-2207
Practice Address - Fax:337-239-2583
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07072363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics