Patricia M Ackley, PA-C
Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).
NPI number1578555686
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1578555686
- Entity type
- Individual (NPI-1)
- Name
- Patricia M Ackley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2005
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | PA04420 | TX |
Other names
- Patricia L Russell (Former Name)
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-675-5619
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-675-5619
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Shreveport, LA
- Ahmad AbbasNPI 1043047863
- Mehdi Abbasi, MDNPI 1023892106
- Dean Abdehou, MDNPI 1174376982
- Sheikh AbdullahNPI 1295567246
- Makenzie AbshireNPI 1679415392
- Abdallah Abu Shehab, MDNPI 1467340968
- Dr. Sergio Adrian Acevedo Cortes, DMDNPI 1265320824
- Emily AdamsNPI 1225691322
- Mariah AdamsNPI 1578268223
- Dr. Sean Adams, ODNPI 1659018133
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.