DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH SHREVEPORT FAMILY MEDICINE, LLC

Active Organization

SOUTH SHREVEPORT FAMILY MEDICINE, LLC is a Family Nurse Practitioner organization located in SHREVEPORT, Louisiana. NPI 1013217595 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1013217595
Provider Type
Organization
NPI Issued
Oct 29, 2010 (15.774646863327 yrs)
Last Updated
Oct 5, 2022

Practice Information

Address
8660 FERN AVE STE 105
SHREVEPORT, LA, 711055657
Browse LA providers · Browse ZIP 71105
Phone
3187970009
Fax
3187970092
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.