Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDRE' JACOB CARPENTER, P.A.
ActiveMR. ANDRE' JACOB CARPENTER, P.A. is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1255618591 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1255618591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2011 (14.725799237436 yrs)
- Last Updated
- Jun 21, 2021
- License
-
PA200495 (LA)
Practice Information
- Address
-
2751 ALBERT L BICKNELL DR4TH FLOORSHREVEPORT, LA, 711033920Browse LA providers · Browse ZIP 71103
- Phone
- 3182124275
- Fax
- 3182124555
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONNA TERRY | PA-C | 1104823947 |
| KIMBERLY E MEYER | PA-C | 1760475651 |
| KENNETH BETZING | PA-C | 1053304048 |
| MARY ALEXIS K GREEN | PA-C | 1366436487 |
| MRS. LORI A STACKOW | PAC | 1467449835 |
| MR. MARVIN KEITH RAINWATER | PA | 1457310773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.