Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE NICOLE DODD
ActiveGRACE NICOLE DODD is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1760226484 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1760226484
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2024 (2.1341522883129 yrs)
- Last Updated
- Jan 6, 2025
- License
-
344521 (LA)
Practice Information
- Address
-
2727 HEARNE AVE STE 301SHREVEPORT, LA, 711033918Browse LA providers · Browse ZIP 71103
- Phone
- 3186316400
- Fax
- 3186310300
- 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.