Individual provider · Type 1 NPI

Shawna Marie Longoria, FNP

Nurse Practitioner · Shreveport, LA

NPI number 1205565793 Active

Practice location

1505 E Bert Koun Loop # 101
Shreveport, LA 71105-5723

Mailing address

179 Farris Ln
Frierson, LA 71027-2060

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X200157 (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 1205565793

Shawna Marie Longoria, FNP's National Provider Identifier is 1205565793, issued on Jun 9, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 9, 2022.