IndividualActive
Mary Inman, ACNPC-AG
NPI 1780237701 · Gerontology Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1780237701
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Female
- Sole proprietor
- No
- License
- 207290 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1449 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5680
Phone: (318) 629-0220
Fax: (318) 629-0230
Approximate (ZIP-level) locationGet directions
Mailing address
1449 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5680
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.