Individual
JENNIFER B CYPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA. A10316.RX
LA
363AM0700X
Medical Physician Assistant
Primary
PA.A10316
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624934
—
LA
Enumeration date
08/14/2006
Last updated
01/10/2023
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