IndividualActive
Jennifer Stewart, NP
NPI 1336994128 · Gerontology Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1336994128
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 236032 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1453 E Bert Kouns Industrial Loop Ste 112
Shreveport, LA 71105-6810
Phone: (318) 798-9400
Fax: (318) 795-4003
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 51008
Shreveport, LA 71135-1008
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.