Individual provider · Type 1 NPI

Jerry Lloyd Williford, NURSE PRACTITIONER

Nurse Practitioner · Shreveport, LA

NPI number 1669060034 Active

Practice location

850 Olive St Ste A
Shreveport, LA 71104-2162

Fax (805) 295-4715

Mailing address

PO Box 4506
Shreveport, LA 71134-0506

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X211128 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669060034

Jerry Lloyd Williford, NURSE PRACTITIONER's National Provider Identifier is 1669060034, issued on Jan 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 1, 2021.