Patricia M Ackley, PA-C

NPI #1578555686 in Shreveport, Louisiana

Provider Information

NPI Number: 1578555686
Entity Type: Individual
Name: Patricia M Ackley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PA-C
Enumeration Date: Aug 16, 2005
Last Updated: Aug 21, 2024

Practice Location

Address: 1501 KINGS HWY
City: Shreveport
State: Louisiana
ZIP Code: 71103-4228
Phone: (318) 675-5619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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