IndividualActive
Benjamin Potter, ACNPC-AG
NPI 1215560578 · Acute Care Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1215560578
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- No
- License
- 211844 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1800 Irving Pl
Shreveport, LA 71101-4608
Phone: (318) 425-4096
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Irving Pl
Shreveport, LA 71101-4608
Registry dates
- Enumerated
- 2020-02-14
- Last updated
- 2020-02-14
- Certified
- 2020-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.