Individual provider · Type 1 NPI

Jaycie Madison Martin, PA-C

Physician Assistant · Shreveport, LA

NPI number 1205709599 Active

Practice location

1500 Line Ave Ste 200
Shreveport, LA 71101-4643

Call (318) 629-5555 Map

Fax (318) 629-5556

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X349247 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205709599

Jaycie Madison Martin, PA-C's National Provider Identifier is 1205709599, issued on Sep 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 24, 2025.