person
Shironda R Blake, NP
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1306510805

Shironda R Blake is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Shironda R Blake practices in Shreveport, LA and has the professional credentials of NP. The NPI Number for Shironda R Blake is 1306510805 and holds a License No. 221102 (Louisiana).

The current practice location address for Shironda R Blake is 3217 Mabel St, Shreveport, LA and can be reached out via phone at 318-631-9121 and via fax at 318-631-9126.

Location: 3217 Mabel St, Shreveport, LA, 71103-4022
person
Provider Profile Details
NPI Number
1306510805
Provider Name
Shironda R Blake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3217 Mabel St, Shreveport, LA, 71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
Provider Enumeration Date
08/06/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2567250 05 LA
221102 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3217 Mabel St
City
State
Zip
71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider Business Mailing Address Details
Address
3217 Mabel St
City
State
Zip
71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
221102 (Louisiana)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Shreveport, Louisiana: