Organization · Type 2 NPI

Icp Louisiana Aco Billing LLC

Nurse Practitioner · Shreveport, LA

NPI number 1043894231 Active

Practice location

333 Texas St Ste 1300
Shreveport, LA 71101-3783

Fax (855) 316-2999

Mailing address

805 N Whittington Pkwy Ste 200
Louisville, KY 40222-7102

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043894231

Icp Louisiana Aco Billing LLC's National Provider Identifier is 1043894231, issued on May 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 11, 2025.