KYLEE BROOKE POUDRIER FNP NPI 1629823794

NPI Information

  • NPI: 1629823794
  • Provider Name: KYLEE BROOKE POUDRIER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8383 MILLICENT WAY STE B
    SHREVEPORT, LA
    ZIP 71115
  • Phone: (318) 631-9121

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NPI Details

Kylee Brooke Poudrier, FNP is a family nurse practitioner in Shreveport, LA with 2 years of experience. Kylee Brooke Poudrier, FNP NPI is 1629823794. 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:

8383 MILLICENT WAY STE B
SHREVEPORT, LA
ZIP 71115-207
Phone: (318) 631-9121
Fax: (318) 213-6246

The NPI 1629823794 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 4/22/2024 and was last updated on 5/31/2024.

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
1363LF0000XNurse PractitionerFamily235642LOUISIANAYes

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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