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

PHYLLIS CAUDILL

Active Sole Proprietor

PHYLLIS CAUDILL is a Primary Care Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1568239283 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1568239283
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2023 (2.6487911369678 yrs)
Last Updated
Dec 4, 2023
License
906229 (MS)
Sole Proprietor
Yes

Practice Information

Address
1860 FAIRFIELD AVE
SHREVEPORT, LA, 711014431
Browse LA providers · Browse ZIP 71101
Phone
3186429450
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in SHREVEPORT, LA

Name Credential NPI
KASEY LATTIER NP 1457704306
RACHEL SITTER NP 1962028415
WENDY E TAYLOR APRN-CNP 1538752407
STEPHANIE ANDERSON NP 1427711464
ANTERRICA GWENA' MYLES 1174344998
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.