MEDICARE: ACCESSCARE ADVANCE PRACTICE

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	202C00000X	Independent Medical Examiner Physician

General Provider Information

NPI Number	:	1982555181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSCARE ADVANCE PRACTICE

Provider Business Mailing Address
First Line	:	904 PARK RD
Second Line	:
City	:	DERIDDER
State	:	LA
Zip	:	70634-2726
Country	:	US
Telephone Number	:	337-396-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 PARK RD
Second Line	:
City	:	DERIDDER
State	:	LA
Zip	:	70634-2726
Country	:	US
Telephone Number	:	337-396-3344
Fax Number	:

Authorized Official
Title or Position	:	FNP
Name	:	KAYLYN COOLEY
Credential	:	FNP
Telephone Number	:	337-396-3344

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ACCESSCARE ADVANCE PRACTICE ” Practice Location

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