Individual provider · Type 1 NPI

Lisa Marie Taylor, AGACNP-BC, FNP-BC

Gerontology Nurse Practitioner · Shreveport, LA

NPI number 1326456476 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Fax (318) 629-4833

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Other practice locations

  • 102 Office Park Dr, Minden, LA 71055-3086 · (318) 377-2885

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN108838 (LA)
Nurse Practitioner 363L00000XAP07987 (LA)
Acute Care Nurse Practitioner 363LA2100XAP07987 (LA)
Family Nurse Practitioner 363LF0000XAP07987 (LA)
Gerontology Nurse Practitioner Primary 363LG0600XAP07987 (LA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1326456476

Lisa Marie Taylor, AGACNP-BC, FNP-BC's National Provider Identifier is 1326456476, issued on Jul 31, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shreveport, LA. The record was last updated on Oct 25, 2023.