Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SABLE REYNOLDS
Deactivated Sole ProprietorSABLE REYNOLDS is a Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1902385974 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · SHREVEPORT, LA
This NPI has been deactivated.
The record was deactivated on July 8, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902385974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2018 (5.9098360655738 yrs)
- Last Updated
- Nov 19, 2024
- Deactivated
- Jul 8, 2024
- License
-
344178 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2611 GREENWOOD RDSHREVEPORT, LA, 711033907Browse LA providers · Browse ZIP 71103
- Phone
- 2182122020
- Fax
- 3182126336
- 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.