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

ELIZABETH MANGUM, NP

Active

ELIZABETH MANGUM, NP is a Gerontological Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1649625807 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1649625807
Provider Type
Individual
Gender
Female
NPI Issued
Apr 25, 2016 (10.260109254572 yrs)
Last Updated
Feb 27, 2023
Licenses
AP08881 (LA)
RN82332 (LA)
AP0881 (LA)

Practice Information

Address
1541 KINGS HWY
SHREVEPORT, LA, 711034228
Browse LA providers · Browse ZIP 71103
Phone
3186260000
Fax
3186294833
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Additional Specialty
Registered Nurse

Other Gerontological Nurse Practitioner Providers in SHREVEPORT, LA

Name Credential NPI
MRS. LISA MARIE TAYLOR AGACNP-BC, FNP-BC 1326456476
AARON STIGERS AGNP 1114449071
MRS. JENNIFER MICHELLE MIDDLETON NP 1255843801
CAROLYNE ADHIAMBO REDDING NURSE PRACTITIONER 1619476595
MARY INMAN ACNPC-AG 1780237701
CANDICE CROW 1376142893
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.