Individual provider · Type 1 NPI

Thea C. Pennywell, PA

Physician Assistant · Shreveport, LA

NPI number 1295038149 Active

Practice location

7925 Youree Dr, Suite 220
Shreveport, LA 71105-5127

Call (318) 424-3400 Map

Fax (318) 629-8712

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA200405 (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 1295038149

Thea C. Pennywell, PA's National Provider Identifier is 1295038149, issued on Dec 15, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Dec 15, 2010.