NIKKI B PORTER

SHREVEPORT, LA
NPI1679598353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  200061)
Enumeration Date2006-07-13
Last Update Date2020-07-31
Business Address
Mrs. NIKKI B PORTER PA-C
1500 LINE AVE SUITE 100
SHREVEPORT, LA 71101-4639
Phone number: 318-635-3052
Mailing Address
Mrs. NIKKI B PORTER PA-C
1534 ELIZABETH AVE STE 301
SHREVEPORT, LA 71101-4531
Phone number: 318-629-5001
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