Individual
MRS. NANCY ELIZABETH PIPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4484
(318) 798-4412
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4484
(318) 798-4412
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347691
—
LA
Enumeration date
11/16/2006
Last updated
03/27/2017
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