Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY LLOYD WILLIFORD, NURSE PRACTITIONER
Active Sole ProprietorJERRY LLOYD WILLIFORD, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1669060034 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SHREVEPORT, LA
Registration Details
- NPI Number
- 1669060034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 1, 2021 (5.6110881477384 yrs)
- Last Updated
- Jan 1, 2021
- License
-
211128 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
850 OLIVE ST STE ASHREVEPORT, LA, 711042162Browse LA providers · Browse ZIP 71104
- Phone
- 3182394860
- Fax
- 8052954715
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DEANNA C KAMPHUIS | NP | 1437153319 |
| MRS. SHARON D ADLEY | NP | 1770581274 |
| JAMES E HARPER | NP | 1003808569 |
| MARSHA LOUISE MURRAY | CFNP | 1437142247 |
| PATRICIA T KENNEDY | FNP | 1972599116 |
| DONALD B SMITH | NP | 1407842644 |
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.