JESSICA ANN KING AGACNP-BC NPI 1629454160

NPI Information

  • NPI: 1629454160
  • Provider Name: JESSICA ANN KING, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2727 HEARNE AVE STE 301
    SHREVEPORT, LA
    ZIP 71103
  • Phone: (318) 631-6400

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NPI Details

Jessica Ann King, AGACNP-BC is an acute care nurse practitioner in Shreveport, LA. Jessica Ann King, AGACNP-BC NPI is 1629454160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2727 HEARNE AVE STE 301
SHREVEPORT, LA
ZIP 71103-918
Phone: (318) 631-6400
Fax: (318) 631-0300

The NPI 1629454160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2015 and was last updated on 2/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareAP130723TEXASNo
2363LA2100XNurse PractitionerAcute CareAP08445LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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