Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS GRACYN LEE GORMAN, PA
ActiveMISS GRACYN LEE GORMAN, PA is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1477219673 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1477219673
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2021 (4.7506390702504 yrs)
- Last Updated
- Aug 24, 2024
- License
-
329002 (LA)
Practice Information
- Address
-
2709 MACKEY LNSHREVEPORT, LA, 711182556Browse LA providers · Browse ZIP 71118
- Phone
- 3186711131
- 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.