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NPI Code Detail

MEDICARE: PAULA GRIFFING PNP

MEDICARE: PAULA GRIFFING PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerRN114177-AP06632LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AP06632OTHERLALICENSE
312391740OTHERCAQH

General Provider Information

NPI Number : 1578842027
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA GRIFFING PNP
Provider Business Mailing Address
First Line : 2104 LOOP RD STE C
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-6363
Fax Number : 318-435-4646
Provider Business Practice Location Address
First Line : 2104 LOOP RD STE C
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-6363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2011
Last Update Date : 01/16/2026

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