IndividualActive
Amanda Phelps, PA-C
NPI 1629683230 · Medical Physician Assistant · Shreveport, LA
Provider details
- NPI number
- 1629683230
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 324297 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3217 Mabel St
Shreveport, LA 71103-4022
Phone: (318) 631-9121
Fax: (318) 631-9126
Approximate (ZIP-level) locationGet directions
Mailing address
3217 Mabel St
Shreveport, LA 71103-4022
Registry dates
- Enumerated
- 2020-09-10
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.