Individual provider · Type 1 NPI

Jacob Daniel Wade

Acute Care Nurse Practitioner · Shreveport, LA

NPI number 1609559244 Active

Practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Mailing address

550 Daley
Princeton, LA 71067-9111

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X231241 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1609559244

Jacob Daniel Wade's National Provider Identifier is 1609559244, issued on Aug 10, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Shreveport, LA. The record was last updated on Aug 10, 2023.