person
Jacob Daniel Wade
Acute Care Nurse Practitioner in Shreveport, Louisiana
NPI 1609559244

Jacob Daniel Wade is an Acute Care Nurse Practitioner based in Princeton, LA and is specialized in Acute Care. Jacob Daniel Wade practices in Shreveport, LA. The NPI Number for Jacob Daniel Wade is 1609559244 and holds a License No. 231241 (Louisiana).

The current practice location address for Jacob Daniel Wade is 2600 Greenwood Rd, Shreveport, LA and can be reached out via phone at 318-212-4000.

Location: 2600 Greenwood Rd, Shreveport, LA, 71067-9111
person
Provider Profile Details
NPI Number
1609559244
Provider Name
Jacob Daniel Wade
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Greenwood Rd, Shreveport, LA, 71067-9111
Phone Number
318-212-4000
Fax Number
Provider Enumeration Date
08/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 Greenwood Rd
City
State
Zip
71103-3908
Phone Number
318-212-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Greenwood Rd
City
State
Zip
71103-3908
Phone Number
318-212-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
231241 (Louisiana)
Definition
Definition to come...
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