Individual provider · Type 1 NPI

Thomas Duddy, FNP

Nurse Practitioner · Shreveport, LA

NPI number 1053130583 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1935 W Jordan St
Shreveport, LA 71103-2916

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X237606 (LA)

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 1053130583

Thomas Duddy, FNP's National Provider Identifier is 1053130583, issued on Oct 10, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Apr 24, 2026.