Jeshanna Nicole Walter | Hammond, LA • PECOS Search

Jeshanna Nicole Walter

Case Manager/Care Coordinator

Other Service Providers

44617 S Airport Rd, Hammond, LA 70403-0311

PECOS Enrollment

Based on the most recent information from CMS, provider Jeshanna Nicole Walter does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1477076354
Provider Type
Individual
Full Name
Walter, Jeshanna Nicole
Gender
Female

Sole Proprietor
No
Enumeration Date
7/21/2017
Last Updated
7/21/2017

Contact Information

Practice Location

44617 S Airport Rd, Hammond, LA 70403-0311

Unlisted Fax

Mailing Location

44617 S Airport Rd, Hammond, LA 70403-0311

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer