Individual provider · Type 1 NPI

Nicolette Denee Shafto, PA

Medical Physician Assistant · Shreveport, LA

NPI number 1417325218 Active

Practice location

1811 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5740

Call (318) 212-3858 Map

Fax (318) 212-3958

Mailing address

1202 Louisiana Ave
Shreveport, LA 71101-3910

Other practice locations

  • 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808-4368 · (225) 766-0416

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.200885 (LA)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1417325218

Nicolette Denee Shafto, PA's National Provider Identifier is 1417325218, issued on Sep 10, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shreveport, LA. The record was last updated on Jun 24, 2026.