Organization · Type 2 NPI

South Shreveport Family Medicine, LLC

Family Nurse Practitioner · Shreveport, LA

NPI number 1013217595 Active

Practice location

8660 Fern Ave Ste 105
Shreveport, LA 71105-5657

Call (318) 797-0009 Map

Fax (318) 797-0092

Mailing address

530 Red Baron Dr
Shreveport, LA 71115-3052

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1013217595

South Shreveport Family Medicine, LLC's National Provider Identifier is 1013217595, issued on Oct 29, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 5, 2022.