Organization · Type 2 NPI
Magnolia Diagnostic Services Inc.
Nurse Practitioner · Shreveport, LA
Practice location
4005 Lakeshore Dr
Shreveport, LA 71109-1927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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 1770375768
Magnolia Diagnostic Services Inc.'s National Provider Identifier is 1770375768, issued on May 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on May 22, 2025.