IndividualActive
Katrina Gipson
NPI 1366008500 · Gerontology Nurse Practitioner · Monroe, LA
Provider details
- NPI number
- 1366008500
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 207621 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 330-7000
Approximate (ZIP-level) locationGet directions
Mailing address
1512 W Kirby Pl
Shreveport, LA 71103-3822
Additional practice locations (1)
- 920 Oliver RdMonroe, LA 71201-5702Phone: (318) 807-6267Fax: (318) 812-6458
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.