Individual
PAULA NICOLE SPIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1455 E BERT KOUNS LOOP, #109, SHREVEPORT, LA 71105-5634
(318) 798-4458
(318) 798-4474
Mailing address
1455 E BERT KOUN LOOP # 200, SHREVEPORT, LA 71105-5634
(318) 798-4458
(318) 798-4474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200092
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133469
—
LA
Enumeration date
04/16/2007
Last updated
02/13/2018
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