Lincoln Medical Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LINCOLN MEDICAL CLINIC LLC

Practice address

1831 North Trenton Street
Suite 2
Ruston, LA 71270-2678

Phone

(318) 224-7004

Fax

(318) 224-7006

NPI assigned

Dec 31, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnie Jennifer Sherrard, APRN

Title

Owner

Phone

(318) 224-7004

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1295123081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 NORTH TRENTON STREET",
            "address_2": "SUITE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702678",
            "telephone_number": "318-224-7004",
            "fax_number": "318-224-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 NORTH TRENTON STREET",
            "address_2": "SUITE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702678",
            "telephone_number": "318-224-7004",
            "fax_number": "318-224-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "SHERRARD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-224-7004",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Family Health Clinic, LLC
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Nova Vital Recovery
• Lincoln Nova Vital Recovery Center,LLC
• Lincoln Outpatient Therapy Services
• Lincoln Parish Police Jury (Humanitarian Enterprises of Lincoln Parish)
• Lincoln Parish Police Jury

• Family Nurse Practitioner in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.