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

MISS COLLEEN HANNON CLINE, PA-C

Active

MISS COLLEEN HANNON CLINE, PA-C is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1568748986 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHREVEPORT, LA

Registration Details

NPI Number
1568748986
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2011 (14.786924274228 yrs)
Last Updated
Dec 19, 2017
Licenses
PA07541 (TX)
PA200506 (LA)

Practice Information

Address
8383 MILLICENT WAY
SHREVEPORT, LA, 711155207
Browse LA providers · Browse ZIP 71115
Phone
3187976661
Fax
3187958512
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

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.