Individual provider · Type 1 NPI

Susan Pesnell Gaines

Psychiatric/Mental Health Registered Nurse · Shreveport, LA

NPI number 1336038645 Active

Practice location

1800 Line Ave
Shreveport, LA 71101-4612

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN115883 (LA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X248539 (LA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1336038645

Susan Pesnell Gaines's National Provider Identifier is 1336038645, issued on Jul 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Shreveport, LA. The record was last updated on Jul 29, 2026.