Individual
PROF. PATSY RENE GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 LINE AVE, SHREVEPORT, LA 71101-4612
(318) 677-3100
Mailing address
1800 LINE AVE, SHREVEPORT, LA 71101-4612
(318) 677-3100
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
108940
LA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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