Individual provider · Type 1 NPI

Tiffany Boudreaux

Physician Assistant · Shreveport, LA

NPI number 1487550984 Active

Practice location

1450 Claiborne Ave
Shreveport, LA 71103-4204

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X354741 (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 1487550984

Tiffany Boudreaux's National Provider Identifier is 1487550984, issued on Oct 20, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 20, 2026.