IndividualActive
Candice Crow
NPI 1376142893 · Gerontology Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1376142893
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 207014 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 330-7000
Approximate (ZIP-level) locationGet directions
Mailing address
1520 Leanne Loop
Bastrop, LA 71220-6104
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.