Individual provider · Type 1 NPI

Jordan Cage Wyatt, PA-C

Physician Assistant · Bossier City, LA

NPI number 1699447615 Active

Practice location

2449 Hospital Dr Ste 300
Bossier City, LA 71111-1910

Fax (318) 212-7965

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X328850 (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 1699447615

Jordan Cage Wyatt, PA-C's National Provider Identifier is 1699447615, issued on Sep 28, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bossier City, LA. The record was last updated on Feb 10, 2025.