IndividualActive
John Robertson, RN
NPI 1104080886 · Urology Registered Nurse · Shreveport, LA
Provider details
- NPI number
- 1104080886
- Entity type
- Individual
- Primary specialty
- Urology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN039685 (LA)
Mailing address
501 E Stoner Ave
Shreveport, LA 71101-4242
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2008-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.