IndividualActive
Jennifer Waddle, WHCNP
NPI 1366656787 · Women's Health Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1366656787
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP04789 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2508 Bert Koun Loop
Suite 201
Shreveport, LA 71118-3133
Phone: (318) 212-5790
Fax: (318) 212-5795
Approximate (ZIP-level) locationGet directions
Mailing address
2508 Bert Koun Loop
Shreveport, LA 71118-3133
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2016-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.