Individual
HEATHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
745 OLIVE ST STE 200, SHREVEPORT, LA 71104-2246
(318) 213-2213
(318) 213-2215
Mailing address
101 HARTS LANDING LN, SHREVEPORT, LA 71115-3235
(318) 677-9163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310490
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/28/2018
Last updated
02/04/2025
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