MEDICARE: JNK MEDICAL TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1407611908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JNK MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	463 LONG ACRE DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-8229
Country	:	US
Telephone Number	:	318-512-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	463 LONG ACRE DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-8229
Country	:	US
Telephone Number	:	318-379-4244
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALISHA T FORTNER
Credential	:
Telephone Number	:	318-512-9452

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	03/12/2026

Similar Medicare Providers

1710305974 — WILLIAMS CONSULTANT SLP DBA SIMPLY SLP LLC
Practice Location Address:

442 LONG ACRE DR
BOSSIER CITY, LA
71111-8229

Practice Phone: 131-835-5698
Practice Fax:

1598193823 — MRS. LAURA MAHALA CAMPBELL P.T
Practice Location Address:

205 OLD HIGHWAY 40
BATES CITY, MO
64011-8229

Practice Phone: 816-419-5519
Practice Fax:

1952761892 — AMY GARDNER
Practice Location Address:

7 S COVE DR
CEDAR CITY, UT
84720-8229

Practice Phone: 435-590-8699
Practice Fax:

1245187137 — CLAIRE MCMILLAN BELLEW
Practice Location Address:

2449 HOSPITAL DR STE 260
BOSSIER CITY, LA
71111-1909

Practice Phone: 318-212-7840
Practice Fax: 318-212-7845

1497602205 — BRANTON FAMILY DENTISTRY, LLC
Practice Location Address:

550 GREENACRES BLVD
BOSSIER CITY, LA
71111-2161

Practice Phone: 318-747-6007
Practice Fax: 318-747-9800

1528926631 — LAUREN MARIE WALLACE PA-C
Practice Location Address:

5400 E TEXAS ST
BOSSIER CITY, LA
71111-6906

Practice Phone: 318-675-1313
Practice Fax: 888-965-0619

Directions to “JNK MEDICAL TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.